Provider Demographics
NPI:1366293490
Name:HOME FAMILY SOLUTIONS LLC
Entity type:Organization
Organization Name:HOME FAMILY SOLUTIONS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CLAREL
Authorized Official - Middle Name:
Authorized Official - Last Name:ST FORT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:321-442-5680
Mailing Address - Street 1:5957 GROVELINE DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32810-5023
Mailing Address - Country:US
Mailing Address - Phone:321-442-5680
Mailing Address - Fax:
Practice Address - Street 1:5957 GROVELINE DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32810-5023
Practice Address - Country:US
Practice Address - Phone:321-442-5680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-28
Last Update Date:2024-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services