Provider Demographics
NPI:1619140647
Name:ALL STAT HOME HEALTH INC
Entity Type:Organization
Organization Name:ALL STAT HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:SCOMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-923-0880
Mailing Address - Street 1:8520 S TAMIAMI TRL
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34238-3003
Mailing Address - Country:US
Mailing Address - Phone:941-923-0880
Mailing Address - Fax:941-923-4738
Practice Address - Street 1:8520 S TAMIAMI TRL
Practice Address - Street 2:SUITE 1
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34238-3003
Practice Address - Country:US
Practice Address - Phone:941-923-0880
Practice Address - Fax:941-923-4738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2999991043251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health