Provider Demographics
NPI:1609803931
Name:SOUTHWEST FLORIDA HOME CARE INC
Entity Type:Organization
Organization Name:SOUTHWEST FLORIDA HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIR OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:M
Authorized Official - Last Name:DOBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:239-275-5233
Mailing Address - Street 1:12651 MCGREGOR BLVD # 3-301
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33919-4467
Mailing Address - Country:US
Mailing Address - Phone:239-275-5233
Mailing Address - Fax:239-275-8993
Practice Address - Street 1:12651 MCGREGOR BLVD # 3-301
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33919-4467
Practice Address - Country:US
Practice Address - Phone:239-275-5233
Practice Address - Fax:239-275-8993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-26
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299991665251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL299991665OtherSTATE LIC NUMBER
FL107749Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER