Provider Demographics
NPI:1003436437
Name:HOME CARE ASSISTANCE OF NORTH BROWARD, LLC
Entity Type:Organization
Organization Name:HOME CARE ASSISTANCE OF NORTH BROWARD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:BUSCEMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-581-0993
Mailing Address - Street 1:6608 PARKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33067-1694
Mailing Address - Country:US
Mailing Address - Phone:954-906-5161
Mailing Address - Fax:
Practice Address - Street 1:6608 PARKSIDE DR
Practice Address - Street 2:
Practice Address - City:PARKLAND
Practice Address - State:FL
Practice Address - Zip Code:33067-1694
Practice Address - Country:US
Practice Address - Phone:954-906-5161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-27
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health