Provider Profile
FIRSTLIGHT HOMECARE OF MELBOURNE
Home Health Agency
FACILITY PROFILE
Street Address
- 3720 SUNTREE BLVD STE 218
MELBOURNE, FL 32940-7540
County: Brevard - Phone: (321) 221-7099
Mailing Address
- 3720 SUNTREE BLVD STE 218
MELBOURNE, FL 32940-7540
County: Brevard - Phone: (321) 221-7099
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Facility Information:
| Facility/Provider Type: | Home Health Agency | ||||||
| Administrator: | GRAYSON BOOCK HAUSMAN | ||||||
| Chief Executive Officer: | Not Available | ||||||
| Financial Officer: | GRAYSON BOOCK HAUSMAN | ||||||
| Owner/Licensee: | INTEGRITY HOME CARE INC | ||||||
| Owner/Licensee Since: | 11/5/2014 | ||||||
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| Profit Status: | For-Profit | ||||||
| Management Company: | Not Available | ||||||
| Manager Since: | Not Available | ||||||
| Licensed Beds: | Not Available | ||||||
| AHCA Number (File Number): | 19967361 | ||||||
| AHCA Field Office: | 07 | ||||||
| License Number: | 299994363 | ||||||
| Current License Effective: | 5/4/2023 | ||||||
| Current License Expires: | 5/3/2027 | ||||||
| License Status: | LICENSED | ||||||
Services/Characteristics
| Service Area: | Brevard |
| Certification Status: | Not Certified |
| SERVICES PROVIDED: | Certified Nursing AssistantHome Health AideHomemakerNursing Care |
| Special Designation: | Non-Skilled Services Only |
| Skilled Pediatric Services: | No |
Important information and facility/provider definitions can be found in the Glossary.
Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.