# HISPANO AMERICAN HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134695133
- **Authorized official:** MADELINE VEGA (OWNER)
- **Authorized official phone:** (407) 404-0077

## Contact information

- **Practice address:** 1700 E IRLO BRONSON MEMORIAL HWY OFC 1714A, SAINT CLOUD, FL 34771-5806
- **Practice address phone:** (407) 583-4795
- **Practice address fax:** (407) 583-6412
- **Mailing address:** 1714 E IRLO BRONSON MEMORIAL HWY STE A, SAINT CLOUD, FL 34771-5836
- **Mailing address phone:** (407) 583-4795

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/17/2018
- **Last updated:** 12/04/2019