Provider Demographics
NPI:1912296948
Name:GREYSTONE HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:GREYSTONE HOME HEALTHCARE LLC
Other - Org Name:GREYSTONE HOME HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CONSTANCE
Authorized Official - Middle Name:D
Authorized Official - Last Name:BESSLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-635-9500
Mailing Address - Street 1:4042 PARK OAKS BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33610-9558
Mailing Address - Country:US
Mailing Address - Phone:813-635-9500
Mailing Address - Fax:813-635-0008
Practice Address - Street 1:2370 HARBOR BLVD
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33952-5024
Practice Address - Country:US
Practice Address - Phone:941-624-5966
Practice Address - Fax:941-766-5351
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GREYSTONE HEALTHCARE SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-03-30
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health