Provider Demographics
NPI:1942324108
Name:CONFICARE HOME HEALTH SOLUTIONS, LLC
Entity Type:Organization
Organization Name:CONFICARE HOME HEALTH SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:BUSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-315-1724
Mailing Address - Street 1:1515 ORMSBY STATION CT
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223-4019
Mailing Address - Country:US
Mailing Address - Phone:502-315-1724
Mailing Address - Fax:502-515-1184
Practice Address - Street 1:3201 SW 34TH AVE
Practice Address - Street 2:STE 201
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-8472
Practice Address - Country:US
Practice Address - Phone:502-315-1701
Practice Address - Fax:502-515-1184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL109025Medicare Oscar/Certification