Provider Demographics
NPI:1902521925
Name:CLOUDS HOME CARE LLC
Entity Type:Organization
Organization Name:CLOUDS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:KORAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-687-2653
Mailing Address - Street 1:2625 STONEWOOD PARK LOOP STE 112
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-6211
Mailing Address - Country:US
Mailing Address - Phone:727-687-2653
Mailing Address - Fax:
Practice Address - Street 1:2625 STONEWOOD PARK LOOP STE 112
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34638-6211
Practice Address - Country:US
Practice Address - Phone:727-687-2653
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-12
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty