Provider Demographics
NPI:1336817667
Name:ATTENTIVE IN HOME CARE
Entity Type:Organization
Organization Name:ATTENTIVE IN HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MATTIE NEALY
Authorized Official - Middle Name:
Authorized Official - Last Name:NEALY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-901-7070
Mailing Address - Street 1:890 INDEPENDENT ST
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:FL
Mailing Address - Zip Code:32344-1510
Mailing Address - Country:US
Mailing Address - Phone:850-901-7070
Mailing Address - Fax:
Practice Address - Street 1:890 INDEPENDENT ST
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:FL
Practice Address - Zip Code:32344-1510
Practice Address - Country:US
Practice Address - Phone:850-879-2084
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-01
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty