# DISTINCTIVE HOME CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Distinctive Home Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861676157
- **Authorized official:** SHARON HUGGINS (ADMINISTRATOR)
- **Authorized official phone:** (954) 727-9142

## Contact information

- **Practice address:** 6460 NW 5TH WAY, FT LAUDERDALE, FL 33309-6112
- **Practice address phone:** (954) 727-9142
- **Practice address fax:** (954) 727-2825
- **Mailing address:** 33920 US HIGHWAY 19 N, SUITE 341, PALM HARBOR, FL 34684-2654
- **Mailing address phone:** (727) 786-5520
- **Mailing address fax:** (727) 787-6893

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 30211309 | FL | Yes |

## Other

- **Enumeration date:** 12/21/2007
- **Last updated:** 08/04/2008