Provider Demographics
NPI:1861201816
Name:FANCY HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:FANCY HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:SHARNERRA
Authorized Official - Middle Name:HOME CARE SERVICES
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:727-621-0779
Mailing Address - Street 1:19321 US 19 N STE 310
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33764-3141
Mailing Address - Country:US
Mailing Address - Phone:727-621-0779
Mailing Address - Fax:
Practice Address - Street 1:19321 US 19 N STE 310
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33764-3141
Practice Address - Country:US
Practice Address - Phone:727-621-0779
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-04
Last Update Date:2025-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion