Organization
PORTA NOVA HOMEMAKER COMPANION SERVICES
Active
Other names
Porta Nova Nurse Registry
Organization subpart
No
Provider details
NPI number
Authorized official
ALBA LINDA PONCE DE LEON (ADMINISTRATOR)
(407) 595-0529
Entity
Organization
Contact information
Practice address
1320 N SEMORAN BLVD SUITE 103, ORLANDO, FL 32807-3500
(407) 214-4153
(407) 704-4560
Mailing address
1320 N SEMORAN BLVD SUITE 103, ORLANDO, FL 32807-3500
(407) 214-4153
(407) 704-4560
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
FL
385HR2065X
Child Physical Disabilities Respite Care
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014245800
—
FL
05
—
018812700
—
FL
Enumeration date
08/15/2016
Last updated
11/21/2024
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