Provider Demographics
NPI:1639697055
Name:THE WHITENER GROUP, LLC
Entity Type:Organization
Organization Name:THE WHITENER GROUP, LLC
Other - Org Name:FIRSTLIGHT HOME CARE OF CENTRAL POLK COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:WHITENER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-617-1756
Mailing Address - Street 1:625 COMMERCE DR STE 106
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33813-2733
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:625 COMMERCE DR STE 106
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33813-2733
Practice Address - Country:US
Practice Address - Phone:863-617-1756
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-06
Last Update Date:2017-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care