Provider Demographics
NPI:1003417932
Name:ALLCARE HOME HEALTH LLC
Entity Type:Organization
Organization Name:ALLCARE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAYANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORENO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-361-7119
Mailing Address - Street 1:3350 SW 148TH AVE
Mailing Address - Street 2:SUITE 110 OFFICE 134
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-3258
Mailing Address - Country:US
Mailing Address - Phone:954-361-7119
Mailing Address - Fax:954-361-7172
Practice Address - Street 1:3350 SW 148TH AVE
Practice Address - Street 2:SUITE 110 OFFICE 134
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-3258
Practice Address - Country:US
Practice Address - Phone:954-361-7119
Practice Address - Fax:954-361-7172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-06
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL114117000Medicaid