Provider Demographics
NPI:1598276768
Name:EPC HOMECARE, LLC
Entity Type:Organization
Organization Name:EPC HOMECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:NYVOLL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-999-2609
Mailing Address - Street 1:2960 S MCCALL RD STE 205
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34224-8069
Mailing Address - Country:US
Mailing Address - Phone:941-999-2609
Mailing Address - Fax:941-237-4108
Practice Address - Street 1:2960 S MCCALL RD STE 205
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:FL
Practice Address - Zip Code:34224-8069
Practice Address - Country:US
Practice Address - Phone:941-999-2609
Practice Address - Fax:941-237-4108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-16
Last Update Date:2018-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299994750251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health