Provider Demographics
NPI:1538902747
Name:JOYFUL HOMECARE SERVICES LLC
Entity type:Organization
Organization Name:JOYFUL HOMECARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LANORA
Authorized Official - Middle Name:SHONTIA
Authorized Official - Last Name:LOVETT-FLUELLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-203-7717
Mailing Address - Street 1:807 BRONZE BUSH CT
Mailing Address - Street 2:
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33566-7108
Mailing Address - Country:US
Mailing Address - Phone:813-203-7717
Mailing Address - Fax:813-537-8770
Practice Address - Street 1:807 BRONZE BUSH CT
Practice Address - Street 2:
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33566-7108
Practice Address - Country:US
Practice Address - Phone:813-203-7717
Practice Address - Fax:813-537-8770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL122866200Medicaid