<Unavail>

LBN: Pristine Homecare
<Unavail> is an health care organization with primary practice located at 1320 N Semoran Blvd Suite 108, Orlando FL 32807. The organization recently has only one registered license in Agencies / In Home Supportive Care, which is considered as the primary health care specialty. Pristine Homecare can be contacted via phone (407) 955-9483, or through Martinez, Mateo via phone (215) 490-5705.

Contact Information

Primary practice address
1320 N Semoran Blvd Suite 108 Orlando FL 32807
Phone: (407) 955-9483
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Martinez, Mateo
Phone: (215) 490-5705

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1992343255
LBN Legal business name Pristine Homecare
DBA Doing business as <Unavail>
Authorized official Martinez, Mateo
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2019
Last updated May 11th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992343255 NPPES
Florida MEDICAID 113083400

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