Provider Demographics
NPI:1770689812
Name:NORTH FLORIDA HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:NORTH FLORIDA HEALTH SERVICES, INC.
Other - Org Name:HARMONYCARES HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT /AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:VASEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-824-6000
Mailing Address - Street 1:500 KIRTS BLVD
Mailing Address - Street 2:ATTN: CREDENTIALING DEPARTMENT
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-4134
Mailing Address - Country:US
Mailing Address - Phone:248-824-6000
Mailing Address - Fax:855-618-6655
Practice Address - Street 1:4348 SOUTHPOINT BLVD STE 320
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-8704
Practice Address - Country:US
Practice Address - Phone:904-241-1656
Practice Address - Fax:904-241-0883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299991522251E00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL299991522OtherSTATE HHC LICENSE
FL299991522OtherSTATE HHC LICENSE
FL108117Medicare Oscar/Certification