Organization
VISANA HOME CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKISSI T. AKA REGISTERED NURSE (CEO/ MANAGER)
(407) 968-2808
Entity
Organization
Contact information
Practice address
110 SPIRIT LAKE RD STE 4, WINTER HAVEN, FL 33880-1244
(407) 968-2808
Mailing address
4420 US HWY 27, SUITE 5, CLERMONT, FL 34711
(407) 968-2808
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
311Z00000X
Custodial Care Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
04/21/2025
Last updated
01/11/2026
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