Organization
BREVARD HMA HOME HEALTH, LLC
Active
Other names
Mederi Caretenders
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
8060 SPYGLASS HILL RD, VIERA, FL 32940-7983
(321) 253-2200
(321) 255-8145
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 443-4154
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA20201096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027241800
—
FL
Enumeration date
04/27/2006
Last updated
05/16/2025
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