Provider Demographics
NPI:1447684311
Name:SCHELMETY CARE PROVIDER, CORP
Entity type:Organization
Organization Name:SCHELMETY CARE PROVIDER, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:IVONNE
Authorized Official - Middle Name:M
Authorized Official - Last Name:SCHELMETY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-300-4200
Mailing Address - Street 1:200 S LAKESHORE BLVD
Mailing Address - Street 2:
Mailing Address - City:LAKE WALES
Mailing Address - State:FL
Mailing Address - Zip Code:33853-3840
Mailing Address - Country:US
Mailing Address - Phone:407-300-4200
Mailing Address - Fax:561-516-6220
Practice Address - Street 1:200 S LAKESHORE BLVD
Practice Address - Street 2:
Practice Address - City:LAKE WALES
Practice Address - State:FL
Practice Address - Zip Code:33853-3840
Practice Address - Country:US
Practice Address - Phone:407-300-4200
Practice Address - Fax:561-516-6220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-28
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health