Provider Demographics
NPI:1548502461
Name:ALL SEASONS HOME CARE OF SOUTHWEST FLORIDA, LLC
Entity type:Organization
Organization Name:ALL SEASONS HOME CARE OF SOUTHWEST FLORIDA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HEUBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-381-7844
Mailing Address - Street 1:5130 LINTON BLVD
Mailing Address - Street 2:SUITE B-7
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-6596
Mailing Address - Country:US
Mailing Address - Phone:561-381-7844
Mailing Address - Fax:
Practice Address - Street 1:11680 BONITA BEACH RD SE
Practice Address - Street 2:UNIT 100
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34135-5993
Practice Address - Country:US
Practice Address - Phone:239-949-1275
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-18
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health