# CLASSIC HOMECARE, LLC

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

## Provider details

- **NPI number:** 1629600465
- **Authorized official:** MR. RONALD J ROSENBERG (PRESIDENT)
- **Authorized official phone:** (321) 413-0038

## Contact information

- **Practice address:** 2235 N COURTENAY PKWY STE 2M, MERRITT ISLAND, FL 32953-5227
- **Practice address phone:** (954) 929-4888
- **Mailing address:** PO BOX 541231, MERRITT ISLAND, FL 32954-1231
- **Mailing address phone:** (321) 413-0038
- **Mailing address fax:** (954) 929-4488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/10/2020
- **Last updated:** 02/10/2020