Provider Demographics
NPI:1205697471
Name:SN HOME HEALTHCARE, LLC
Entity type:Organization
Organization Name:SN HOME HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:ROCCO
Authorized Official - Last Name:LOFFREDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-395-1524
Mailing Address - Street 1:1900 S HARBOR CITY BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32901-4760
Mailing Address - Country:US
Mailing Address - Phone:800-748-2129
Mailing Address - Fax:888-277-2976
Practice Address - Street 1:1900 S HARBOR CITY BLVD STE 204
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-4760
Practice Address - Country:US
Practice Address - Phone:800-748-2129
Practice Address - Fax:888-277-2976
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SN HOME HEALTHCARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health