Provider Demographics
NPI:1750435657
Name:OSCEOLA HOME HEALTH CARE, LLC.
Entity type:Organization
Organization Name:OSCEOLA HOME HEALTH CARE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:CHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:VILLANUEVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-744-9355
Mailing Address - Street 1:800 OFFICE PLAZA BLVD
Mailing Address - Street 2:STE. 401 RM. C-D
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-5512
Mailing Address - Country:US
Mailing Address - Phone:407-846-8493
Mailing Address - Fax:407-846-8405
Practice Address - Street 1:800 OFFICE PLAZA BLVD
Practice Address - Street 2:STE. 401 RM. C-D
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-5512
Practice Address - Country:US
Practice Address - Phone:407-846-8493
Practice Address - Fax:407-846-8405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2007-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health