Provider Demographics
NPI:1578728242
Name:CARETENDERS VISITING SERVICES OF HERNANDO COUNTY, LLC
Entity Type:Organization
Organization Name:CARETENDERS VISITING SERVICES OF HERNANDO COUNTY, LLC
Other - Org Name:BETTER @ HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:GACHASSIN
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:337-233-1307
Mailing Address - Street 1:PO BOX 51266
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70505-1266
Mailing Address - Country:US
Mailing Address - Phone:337-233-1307
Mailing Address - Fax:337-233-5764
Practice Address - Street 1:1400 N US HIGHWAY 441 STE 557
Practice Address - Street 2:
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32159-8987
Practice Address - Country:US
Practice Address - Phone:352-753-9119
Practice Address - Fax:352-753-0097
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARETENDERS VISITING SERVICES OF HERNANDO COUNTY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-07-22
Last Update Date:2019-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108235Medicare Oscar/Certification