Provider Profile
LUCENT HEALTH, LLC
Home Health Agency
FACILITY PROFILE
Accredited by: Accreditation Commission for Health Care
Street Address
- 1110 PELICAN BAY DR
DAYTONA BEACH, FL 32119
County: Volusia - Phone: (386) 265-0012
Mailing Address
- 1110 PELICAN BAY DRIVE
DAYTONA BEACH, FL 32119
County: Volusia - Phone: (386) 265-0012
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Facility Information:
| Facility/Provider Type: | Home Health Agency | ||||||||||||
| Administrator: | IYAD SHAKER | ||||||||||||
| Chief Executive Officer: | Not Available | ||||||||||||
| Financial Officer: | IYAD SHAKER | ||||||||||||
| Owner/Licensee: | LUCENT HEALTH, LLC | ||||||||||||
| Owner/Licensee Since: | 6/2/2020 | ||||||||||||
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| Profit Status: | For-Profit | ||||||||||||
| Management Company: | Not Available | ||||||||||||
| Manager Since: | Not Available | ||||||||||||
| Licensed Beds: | Not Available | ||||||||||||
| AHCA Number (File Number): | 19968247 | ||||||||||||
| AHCA Field Office: | 04 | ||||||||||||
| License Number: | 299995102 | ||||||||||||
| Current License Effective: | 8/5/2024 | ||||||||||||
| Current License Expires: | 8/4/2026 | ||||||||||||
| License Status: | LICENSED | ||||||||||||
Services/Characteristics
| Service Area: | BakerClayDuvalFlaglerNassauSt. JohnsVolusia |
| Accredited By: | Accreditation Commission for Health Care |
| Accredited Deemed Status: | State and Deemed for Federal |
| Certification Status: | Medicare Certified |
| SERVICES PROVIDED: | Medical Social ServicesNursing CareOccupational TherapyPhysical TherapySpeech Therapy |
| Special Designation: | Skilled Services |
| 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.