PRIMARY CARE IN YOUR HOME LLC (NPI# 1003167073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003167073 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE IN YOUR HOME LLC |
| Practice Address |
341 W Minnesota Ave Orange City FL 32763-2205 |
| Practice Telephone | 3863165439 |
| Mailing Telephone | 3863165439 |
| Enumeration Date | 2012-09-30 |
| Last Update Date | 2012-10-05 |
| Authorized Official Name | JOHN CROKER (OWNER/MANAGER) |
| Authorized Official Telephone | 3863165439 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
ARNP3333802 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 305918900 | 05 |
| Street Address |
341 W MINNESOTA AVE |
| City | ORANGE CITY |
| State | FL |
| Zip Code | 32763-2205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245757053 | Donna L Mccutchan | Nurse Practitioner | 341 W Minnesota Ave, Orange City, FL 32763-2205 | 2017-08-23 |
| 1497108716 | Paul Bond | Nurse Practitioner | 341 W Minnesota Ave, Orange City, FL 32763-2205 | 2016-07-21 |
| 1033571930 | Traci Lynn Zimmer | Nurse Practitioner | 341 W Minnesota Ave, Orange City, FL 32763-2205 | 2016-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043852783 | Khushboo Patel | Nurse Practitioner | 915 Harley Strickland Blvd, Orange City, FL 32763 | 2019-10-15 |
| 1598325466 | Steves Hearingllc | Hearing Aid Equipment | 742 N Volucia Ave., Orange City, FL 32763 | 2019-06-13 |
| 1740762194 | Jamie Elizabeth Price | Speech-Language Pathologist | 2705 Rebecca Lane Suite B, Orange City, FL 32763 | 2018-09-02 |
| 1841771821 | Ashley Katherine Taylor | Early Intervention Provider Agency | 358 W Wisconsin Ave, Orange City, FL 32763 | 2018-08-27 |
| 1033636048 | Kimberly Michelle Belk | Social Worker | 300 Treemonte Dr, Orange City, FL 32763 | 2017-08-30 |
| 1588198733 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1320 Saxon Blvd, Orange City, FL 32763 | 2017-04-14 |
| 1629515333 | Anewerface, Inc | Clinic/Center | Address: 123 N Industrial Dr Ste C, Orange City, FL 32763 | 2017-01-20 |
| 1184073322 | Carolyn Ann Damato | Specialist/Technologist, Other | 1350 13th Street, Orange City, FL 32763 | 2016-06-08 |
| 1225451784 | Shamika Spencer | Nurse Practitioner | 932 Saxon Blvd Ste A, Orange City, FL 32763 | 2014-02-03 |
| 1972882314 | Orange City Anesthesia Services LLC | Anesthesiology | 975 Town Center Dr Ste 100, Orange City, FL 32763 | 2011-08-16 |
| Find all providers in zip 32763 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669585337 | Town Center Family Practice Inc | Clinic/Center | 1043 Town Center Dr., Orange City, FL 32763 | 2006-08-16 |
| 1114310851 | Longleaf Pediatrics Pa | Clinic/Center | 103 Birch Ave, Orange City, FL 32763-7003 | 2015-03-05 |
| 1659644987 | Nguyen Vu, Md, Pa | Clinic/Center | 1656 S Volusia Ave, Orange City, FL 32763-7335 | 2012-02-16 |
| 1750683397 | Travis L Herring Md Pa | Clinic/Center | 106 W Fern Dr, Orange City, FL 32763-7310 | 2010-12-02 |
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| Find all providers with the same taxonomy | ||||
| City | ORANGE CITY |
| Zip Code | 32763 |
Please comment or provide details below to improve the information on PRIMARY CARE IN YOUR HOME LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.