Provider Demographics
NPI:1801086608
Name:OPTIONS HOME HEALTH OF NORTH FLORIDA, INC.
Entity type:Organization
Organization Name:OPTIONS HOME HEALTH OF NORTH FLORIDA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:GOODE
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:954-993-3117
Mailing Address - Street 1:3959 S NOVA RD
Mailing Address - Street 2:SUITE #34
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32127-9278
Mailing Address - Country:US
Mailing Address - Phone:954-993-3117
Mailing Address - Fax:561-752-3243
Practice Address - Street 1:3959 S NOVA RD
Practice Address - Street 2:SUITE #34
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32127-9278
Practice Address - Country:US
Practice Address - Phone:954-993-3117
Practice Address - Fax:561-752-3243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-27
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health