Provider Profile
MIND & MOBILITY
Home Health Agency
FACILITY PROFILE
Street Address
- 1320 N SEMORAN BLVD STE 108
ORLANDO, FL 32807-3552
County: Orange - Phone: (407) 955-4783
Mailing Address
- 1320 N SEMORAN BLVD STE 108
ORLANDO, FL 32807-3552
County: Orange - Phone: (862) 686-2088
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Facility Information:
| Facility/Provider Type: | Home Health Agency | ||||||
| Administrator: | MILDRED ORTIZ | ||||||
| Chief Executive Officer: | Not Available | ||||||
| Financial Officer: | MATEO JAMES MARTINEZ | ||||||
| Owner/Licensee: | PRISTINE HOMECARE LLC | ||||||
| Owner/Licensee Since: | 4/20/2020 | ||||||
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| Profit Status: | For-Profit | ||||||
| Management Company: | Not Available | ||||||
| Manager Since: | Not Available | ||||||
| Licensed Beds: | Not Available | ||||||
| AHCA Number (File Number): | 19968232 | ||||||
| AHCA Field Office: | 07 | ||||||
| License Number: | 299995063 | ||||||
| Current License Effective: | 6/4/2024 | ||||||
| Current License Expires: | 6/3/2024 | ||||||
| License Status: | IN REVIEW | ||||||
Services/Characteristics
| Service Area: | BrevardOrangeOsceolaSeminole |
| Certification Status: | Not Certified |
| SERVICES PROVIDED: | Home Health AideHomemaker |
| 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.