Desoto Home Care

LBN: Desoto Home Care
Desoto Home Care is an health care organization with primary practice located at 311 N Marion Ave , Lake City FL 32055-2866. The organization recently has only one registered license in Suppliers / Oxygen Equipment & Supplies, which is considered as the primary health care specialty. Desoto Home Care can be contacted via phone (386) 752-1699, or through Grubb, Shaun via phone (386) 752-1699.

Contact Information

Primary practice address
311 N Marion Ave Lake City FL 32055-2866
Fax: (386) 752-6000
Website:
Authorized official contact:
Name: Grubb, Shaun

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Oxygen Equipment & Supplies 332BX2000X 1919 Florida

Profile Details

NPI number 1235132671
LBN Legal business name Desoto Home Care
DBA Doing business as
Authorized official Grubb, Shaun
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235132671 NPPES
Florida Other R9451 BCBS PROVIDER NUMBER

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