Classic Care of Florida, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299991659 Issued in FL

Legal business name

CLASSIC CARE OF FLORIDA, LLC

Doing business as

Classic Home Health Services

Practice address

1504 South St
Leesburg, FL 34748-6630

Phone

(352) 314-1885

Fax

(352) 314-1890

NPI assigned

Sep 21, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. June K Lew

Title

Ceo

Phone

(352) 314-1885

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Classic Home Health Services Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• V 3 Home Health LLC

  dba Classic Home Health Services

  • Home Health Agency
  • Leesburg, FL
  • NPI 1841884251

  Sold to, 2021-01-28

  CMS change of ownership

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1629329313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 SOUTH ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486630",
            "telephone_number": "352-314-1885",
            "fax_number": "352-314-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 SOUTH ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486630",
            "telephone_number": "352-314-1885",
            "fax_number": "352-314-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSIC CARE OF FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-21",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "LEW",
        "authorized_official_first_name": "JUNE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-314-1885",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299991659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "107786",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Classic Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vincent Charles Cicchetti
• Mary Catherine Cisco, DNP, MBA, MSN, FNP-C
• Citrus Homehealth, Inc. (Accomplished Home Care)
• Ashley Clark, PTA
• Stephanie Donoso Clark, MD
• David George Cleaver, B.S.
• Alyson Clegg, CRNP
• Fiona Kathryn Clifford
• Clinical Pet of Ocala
• Lilliana Cloos Vahey

• Home Health Agency in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.