# FOUR NINETEEN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Homewatch CareGivers of Lakewood Ranch
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831648930
- **Authorized official:** MR. HENRY BERNARD HAITZ III (OWNER)
- **Authorized official phone:** (941) 920-0826

## Contact information

- **Practice address:** 9015 TOWN CENTER PKWY, \#104, LAKEWOOD RANCH, FL 34202-5012
- **Practice address phone:** (941) 920-0826
- **Mailing address:** 9015 TOWN CENTER PKWY, \#104, LAKEWOOD RANCH, FL 34202-5012
- **Mailing address phone:** (941) 920-0826

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 299994641 | FL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 09/29/2016
- **Last updated:** 09/28/2017