Llc.

LBN: Shallomstar Healthcare Agency
Llc. is an health care organization with primary practice located at 1214 Baranova Rd , Ocoee FL 34761-1867. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Shallomstar Healthcare Agency can be contacted via phone (407) 443-6703, or through Leon, Rithe F. via phone (407) 443-6703.

Contact Information

Primary practice address
1214 Baranova Rd Ocoee FL 34761-1867
Phone: (407) 443-6703
Fax: (407) 347-3692
Website:
Map and Directions
Authorized official contact:
Name: Leon, Rithe F.
Phone: (407) 443-6703

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 232509 Florida

Profile Details

NPI number 1710322888
LBN Legal business name Shallomstar Healthcare Agency
DBA Doing business as Llc.
Authorized official Leon, Rithe F.
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2013
Last updated May 2nd, 2013 - about 11 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 1710322888 NPPES
Florida MEDICAID 003567200

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