Provider Demographics
NPI:1578962015
Name:CITRUS HOMEHEALTH, INC.
Entity Type:Organization
Organization Name:CITRUS HOMEHEALTH, INC.
Other - Org Name:ACCOMPLISHED HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:B
Authorized Official - Last Name:YURASKO
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:352-291-6611
Mailing Address - Street 1:1701 NE 42ND AVE STE 401
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34470-8024
Mailing Address - Country:US
Mailing Address - Phone:352-261-6000
Mailing Address - Fax:352-726-6288
Practice Address - Street 1:26218 US HIGHWAY 27 STE 101
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-1708
Practice Address - Country:US
Practice Address - Phone:352-261-6000
Practice Address - Fax:352-726-6288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-21
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL202520951251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
107222Medicare Oscar/Certification