OrganizationTake Care Health Services PaNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address408 E Michigan St, Orlando, FL 32806-4542(855) 925-4733PECOS EnrollmentBased on the most recent information from CMS, provider Take Care Health Services Pa does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1689865818Provider TypeOrganizationFull NameTake Care Health Services PaSubpartNoEnumeration Date8/5/2007Last Updated3/20/2019Contact InformationPractice LocationPractice Address408 E Michigan St, Orlando, FL 32806-4542Phone(855) 925-4733Fax(217) 709-2345Mailing LocationMailing Address1901 E Voorhees St, Ms 640, Danville, IL 61832-4509Phone(855) 925-4733Fax(217) 709-2345Authorized OfficialNameHegg, Deborah (Assistant Secretary)Phone(217) 709-2469Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted IssuerCode363L00000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID0012255-11DescriptionMedicaidIssuerUnlistedFloridaID0012255-34DescriptionMedicaidIssuerUnlistedFloridaID0012255-39DescriptionMedicaidIssuerUnlistedFloridaID0012255-40DescriptionMedicaidIssuerUnlistedFloridaID0012255-16DescriptionMedicaidIssuerUnlistedFloridaID0012255-24DescriptionMedicaidIssuerUnlistedFloridaID0012255-25DescriptionMedicaidIssuerUnlistedFloridaID0012255-42DescriptionMedicaidIssuerUnlistedFloridaID0012255-09DescriptionMedicaidIssuerUnlistedFloridaID0012255-18DescriptionMedicaidIssuerUnlistedFloridaID0012255-19DescriptionMedicaidIssuerUnlistedFloridaID0012255-23DescriptionMedicaidIssuerUnlistedFloridaID0012255-43DescriptionMedicaidIssuerUnlistedFloridaID0012255-01DescriptionMedicaidIssuerUnlistedFloridaID0012255-03DescriptionMedicaidIssuerUnlistedFloridaID0012255-06DescriptionMedicaidIssuerUnlistedFloridaID0012255-08DescriptionMedicaidIssuerUnlistedFloridaID0012255-17DescriptionMedicaidIssuerUnlistedFloridaID0012255-26DescriptionMedicaidIssuerUnlistedFloridaID0012255-35DescriptionMedicaidIssuerUnlistedFloridaID0012255-37DescriptionMedicaidIssuerUnlistedFloridaID0012255-46DescriptionMedicaidIssuerUnlistedFloridaID0012255-07DescriptionMedicaidIssuerUnlistedFloridaID0012255-14DescriptionMedicaidIssuerUnlistedFloridaID0012255-15DescriptionMedicaidIssuerUnlistedFloridaID0012255-28DescriptionMedicaidIssuerUnlistedFloridaID0012255-41DescriptionMedicaidIssuerUnlistedFloridaID0012255-45DescriptionMedicaidIssuerUnlistedFloridaID0012255-48DescriptionMedicaidIssuerUnlistedFloridaID0012255-02DescriptionMedicaidIssuerUnlistedFloridaID0012255-04DescriptionMedicaidIssuerUnlistedFloridaID0012255-10DescriptionMedicaidIssuerUnlistedFloridaID0012255-27DescriptionMedicaidIssuerUnlistedFloridaID0012255-30DescriptionMedicaidIssuerUnlistedFloridaID0012255-47DescriptionMedicaidIssuerUnlistedFloridaID0012255-13DescriptionMedicaidIssuerUnlistedFloridaID0012255-20DescriptionMedicaidIssuerUnlistedFloridaID0012255-22DescriptionMedicaidIssuerUnlistedFloridaID0012255-31DescriptionMedicaidIssuerUnlistedFloridaID0012255-38DescriptionMedicaidIssuerUnlistedFloridaID0012255-44DescriptionMedicaidIssuerUnlistedFloridaID0012255-05DescriptionMedicaidIssuerUnlistedFloridaID0012255-12DescriptionMedicaidIssuerUnlistedFloridaID0012255-21DescriptionMedicaidIssuerUnlistedFloridaID0012255-29DescriptionMedicaidIssuerUnlistedFloridaID0012255-32DescriptionMedicaidIssuerUnlistedFloridaID0012255-36DescriptionMedicaidIssuerUnlistedFlorida