Provider Profile
EXTENDED HOME CARE SERVICES LLC
Homemaker and Companion Service
FACILITY PROFILE
Street Address
- 2016 BUTLER ST
LEESBURG, FL 34748
County: Lake - Phone: (352) 530-7705
Mailing Address
- 2016 BUTLER ST
LEESBURG, FL 34748
County: Lake - Phone: (352) 530-7705
AHCA Reports
Inspection ReportsInspection Details
Consumer Guides
Home Health Care in FloridaLong-Term Care
Patient Safety
Health Care Advance Directives
Facility Information:
| Facility/Provider Type: | Homemaker and Companion Service | ||||||
| Administrator: | TANYA HAUGABROOK | ||||||
| Financial Officer: | TANYA HAUGABROOK | ||||||
| Owner/Licensee: | EXTENDED HOME CARE SERVICES LL | ||||||
| Owner/Licensee Since: | 5/29/2024 | ||||||
| |||||||
| Profit Status: | For-Profit | ||||||
| Licensed Beds: | Not Available | ||||||
| AHCA Number (File Number): | 39976064 | ||||||
| AHCA Field Office: | 03 | ||||||
| License Number: | 240088 | ||||||
| Current License Effective: | 5/29/2024 | ||||||
| Current License Expires: | 5/28/2026 | ||||||
| License Status: | REGISTERED | ||||||
Services/Characteristics
| Service Area: | AlachuaBradfordCitrusLakeSumter |
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.