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Shallomstar Healthcare Agency
Home Health Agency in Ocoee, Florida
NPI 1710322888

Shallomstar Healthcare Agency is a Home Health Agency based in Ocoee, FL. Shallomstar Healthcare Agency practices in Ocoee, FL. The NPI Number for Shallomstar Healthcare Agency is 1710322888 and holds a License No. 232509 (Florida).

The current practice location address for Shallomstar Healthcare Agency is 1214 Baranova Rd, Ocoee, FL and can be reached out via phone at 407-443-6703 and via fax at 407-347-3692.

Location: 1214 Baranova Rd, Ocoee, FL, 34761-1222
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710322888
Provider Name
Shallomstar Healthcare Agency
Credential
Provider Entity Type
Organization
Address
1214 Baranova Rd, Ocoee, FL, 34761-1222
Phone Number
407-443-6703
Fax Number
407-347-3692
Provider Enumeration Date
05/02/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003567200 05 FL
institution
Provider Business Practice Location Address Details
Address
1214 Baranova Rd
City
Ocoee
State
Florida
Zip
34761-1867
Phone Number
407-443-6703
Fax Number
407-347-3692
person
Provider Business Mailing Address Details
Address
1214 Baranova Rd
City
Ocoee
State
Florida
Zip
34761-1867
Phone Number
407-443-6703
Fax Number
407-347-3692
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
232509 (Florida)
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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