Provider Demographics
NPI:1013303254
Name:THERAPYCARE HOME HEALTH LLC
Entity Type:Organization
Organization Name:THERAPYCARE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT, TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:EVGENY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHERNYAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-635-6081
Mailing Address - Street 1:700 3RD ST STE 202
Mailing Address - Street 2:
Mailing Address - City:NEPTUNE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32266-5082
Mailing Address - Country:US
Mailing Address - Phone:904-635-6081
Mailing Address - Fax:
Practice Address - Street 1:507 NW HALL OF FAME DR
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:FL
Practice Address - Zip Code:32055-4835
Practice Address - Country:US
Practice Address - Phone:904-246-3436
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-14
Last Update Date:2021-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health