Provider Demographics
NPI:1770694804
Name:ANTHEA HOME CARE SERVICES, LLC
Entity type:Organization
Organization Name:ANTHEA HOME CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:ADRIENNE
Authorized Official - Middle Name:BARBARA
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:407-539-2612
Mailing Address - Street 1:540 E HORATIO AVE
Mailing Address - Street 2:SUITE 330
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-7314
Mailing Address - Country:US
Mailing Address - Phone:407-539-2612
Mailing Address - Fax:
Practice Address - Street 1:540 E HORATIO AVE
Practice Address - Street 2:SUITE 330
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-7314
Practice Address - Country:US
Practice Address - Phone:407-539-2612
Practice Address - Fax:407-539-2884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health