Primary Care In Your Home Llc

LBN: Primary Care In Your Home Llc
Primary Care In Your Home Llc is an health care organization with primary practice located at 341 W Minnesota Ave , Orange City FL 32763-2205. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Primary Care In Your Home Llc can be contacted via phone (386) 316-5439, or through Croker, John via phone (386) 316-5439.

Contact Information

Primary practice address
341 W Minnesota Ave Orange City FL 32763-2205
Phone: (386) 316-5439
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Croker, John ARNP
Phone: (386) 316-5439

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X ARNP3333802 Florida

Profile Details

NPI number 1003167073
LBN Legal business name Primary Care In Your Home Llc
DBA Doing business as
Authorized official Croker, John ARNP
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2012
Last updated Oct 5th, 2012 - about 12 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 1003167073 NPPES
Florida MEDICAID 305918900

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