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.
Organization
PORT CHARLOTTE HMA LLC
Active
Organization
PORT CHARLOTTE HMA LLC
Active
Other names
Peace River Home Health Service
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE J HOLTSFORD (AUTHORIZED OFFICIAL)
(615) 465-7466
Entity
Organization
Contact information
Practice address
15121 TAMIAMI TRL, NORTH PORT, FL 34287-2711
(941) 423-5183
(941) 423-5184
Mailing address
15121 TAMIAMI TRL, NORTH PORT, FL 34287-2711
(941) 423-5183
(941) 423-5184
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H8P
BLUE CROSS HHA
FL
Enumeration date
06/01/2006
Last updated
01/29/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up