Provider Demographics
NPI:1649766676
Name:REFERENCE HOME CARE INC
Entity Type:Organization
Organization Name:REFERENCE HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:POINVIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-985-3283
Mailing Address - Street 1:PO BOX 881543
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34988-1543
Mailing Address - Country:US
Mailing Address - Phone:772-985-3283
Mailing Address - Fax:
Practice Address - Street 1:1845 SW VIA ROSSA
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34953-4665
Practice Address - Country:US
Practice Address - Phone:772-985-3283
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-02
Last Update Date:2018-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities