Provider Demographics
NPI:1841738259
Name:CRITERION HOMECARE, INC
Entity Type:Organization
Organization Name:CRITERION HOMECARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:CLANCY
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:407-622-0801
Mailing Address - Street 1:235 S MAITLAND AVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-5677
Mailing Address - Country:US
Mailing Address - Phone:407-622-0801
Mailing Address - Fax:407-386-6988
Practice Address - Street 1:235 S MAITLAND AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-5677
Practice Address - Country:US
Practice Address - Phone:407-622-0801
Practice Address - Fax:407-386-6988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-06
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299994571251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health