Provider Demographics
NPI:1922529957
Name:OVERWATCH INVESTMENTS
Entity Type:Organization
Organization Name:OVERWATCH INVESTMENTS
Other - Org Name:VISITING ANGELS OF PACE AND MILTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THEODORE
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:JONGKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-889-4642
Mailing Address - Street 1:4503 WOODBINE RD
Mailing Address - Street 2:
Mailing Address - City:PACE
Mailing Address - State:FL
Mailing Address - Zip Code:32571-8706
Mailing Address - Country:US
Mailing Address - Phone:850-889-4642
Mailing Address - Fax:844-222-3658
Practice Address - Street 1:4503 WOODBINE ROAD
Practice Address - Street 2:
Practice Address - City:PACE
Practice Address - State:FL
Practice Address - Zip Code:32571
Practice Address - Country:US
Practice Address - Phone:850-889-4642
Practice Address - Fax:844-222-3658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299994662251E00000X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health