Provider Demographics
NPI:1609154624
Name:HOME HEALTH CARE PROFESSIONALS OF NAPLES, LLC
Entity Type:Organization
Organization Name:HOME HEALTH CARE PROFESSIONALS OF NAPLES, LLC
Other - Org Name:HOME HEALTH CARE PROFESSIONALS OF NAPLES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCANDLESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-234-6297
Mailing Address - Street 1:1250 TAMIAMI TRL N
Mailing Address - Street 2:SUITE 204
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5248
Mailing Address - Country:US
Mailing Address - Phone:239-234-6297
Mailing Address - Fax:239-331-2827
Practice Address - Street 1:1250 TAMIAMI TRL N
Practice Address - Street 2:SUITE 204
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5248
Practice Address - Country:US
Practice Address - Phone:239-234-6297
Practice Address - Fax:239-331-2827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-25
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PENDING251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health