# PWT NURSE CONSULTANTS & HOME SERVICES INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1578059739
- **Authorized official:** PHYLLIS TYSON RN (ADMINISTRATOR)
- **Authorized official phone:** (407) 925-7237

## Contact information

- **Practice address:** 7034 MINIPPI DR, ORLANDO, FL 32818-3345
- **Practice address phone:** (407) 925-7237
- **Mailing address:** 1746 E SILVER STAR RD \# 107, OCOEE, FL 34761-7014
- **Mailing address phone:** (407) 925-7237

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | RN2529832 | FL | — |
| 253Z00000X | In Home Supportive Care Agency | 235270 | FL | Yes |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 0700506 | FL | — |
| 372600000X | Adult Companion | 235270 | FL | — |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |

## Other

- **Enumeration date:** 07/10/2018
- **Last updated:** 07/10/2018