Individual provider · Type 1 NPI

Shantana D. Johnson

Home Health Agency · Haines City, FL

NPI number 1528734548 Active

Practice location

1920 Verano Dr Ste 105
Haines City, FL 33844-8585

Call (321) 217-2409 Map

Fax (855) 257-1340

Mailing address

1190 Blarney St
Minneola, FL 34715-7634

Specialties and licenses

Taxonomy	Code	License
Foster Care Agency	253J00000X	None listed
In Home Supportive Care Agency	253Z00000X	None listed
Intellectual and/or Developmental Disabilities Residential Treatment Facility	320600000X	None listed
Child Mental Illness Respite Care	385HR2055X	None listed
Homemaker	376J00000X	None listed
Respite Care	385H00000X	None listed
Respite Care Camp	385HR2050X	None listed
Child Intellectual and/or Developmental Disabilities Respite Care	385HR2060X	None listed
Child Physical Disabilities Respite Care	385HR2065X	None listed
Home Health Agency Primary	251E00000X	299995365 (FL)

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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About NPI 1528734548

Shantana D. Johnson's National Provider Identifier is 1528734548, issued on Aug 19, 2021. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Haines City, FL. The record was last updated on Jun 26, 2024.