# HOME61 LLC

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

## Provider details

- **NPI number:** 1730992686
- **Authorized official:** NICHOLAS A PASTRANA (OWNER)
- **Authorized official phone:** (727) 404-0876

## Contact information

- **Practice address:** 6341 80TH AVE N, PINELLAS PARK, FL 33781-2100
- **Practice address phone:** (727) 851-5888
- **Mailing address:** 6341 80TH AVE N, PINELLAS PARK, FL 33781-2100
- **Mailing address phone:** (727) 851-5888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 253J00000X | Foster Care Agency | — | NULL | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | Yes |
| 347C00000X | Private Vehicle | — | NULL | — |

## Other

- **Enumeration date:** 01/27/2025
- **Last updated:** 01/27/2025