Provider Demographics
NPI:1720526338
Name:DNVO HOME HEALTHCARE SERVICES, LLC.
Entity Type:Organization
Organization Name:DNVO HOME HEALTHCARE SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR / OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DELIA
Authorized Official - Middle Name:VILLANUEVA
Authorized Official - Last Name:OZOA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:727-542-9138
Mailing Address - Street 1:1308 VIEWTOP DR
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33764-3737
Mailing Address - Country:US
Mailing Address - Phone:727-507-1028
Mailing Address - Fax:
Practice Address - Street 1:2106 DREW ST
Practice Address - Street 2:SUITE 101
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-3238
Practice Address - Country:US
Practice Address - Phone:727-507-1028
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-02
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health