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Evening Tide Of Brevard, Llc
Home Health Agency in Cocoa Beach, Florida
NPI 1184087694

Evening Tide Of Brevard, Llc is a Home Health Agency based in Cocoa Beach, FL. Evening Tide Of Brevard, Llc practices in Cocoa Beach, FL. The NPI Number for Evening Tide Of Brevard, Llc is 1184087694 and holds a License No. (Florida).

The current practice location address for Evening Tide Of Brevard, Llc is 100 N Orlando Ave, Cocoa Beach, FL and can be reached out via phone at 321-613-4569 and via fax at 321-613-0217.

Location: 100 N Orlando Ave, Cocoa Beach, FL, 32931-2915
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184087694
Provider Name
Evening Tide Of Brevard, Llc
Credential
Provider Entity Type
Organization
Address
100 N Orlando Ave, Cocoa Beach, FL, 32931-2915
Phone Number
321-613-4569
Fax Number
321-613-0217
Provider Enumeration Date
04/01/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 N Orlando Ave
City
Cocoa Beach
State
Florida
Zip
32931-2915
Phone Number
321-613-4569
Fax Number
321-613-0217
person
Provider Business Mailing Address Details
Address
100 N Orlando Ave
City
Cocoa Beach
State
Florida
Zip
32931-2915
Phone Number
321-613-4569
Fax Number
321-613-0217
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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