Provider Demographics
NPI:1003859281
Name:PROFESSIONAL HOME CARE SOLUTIONS
Entity Type:Organization
Organization Name:PROFESSIONAL HOME CARE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILFREDO
Authorized Official - Middle Name:
Authorized Official - Last Name:LUIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-631-7005
Mailing Address - Street 1:1332 W FLAGLER ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-2320
Mailing Address - Country:US
Mailing Address - Phone:305-631-7005
Mailing Address - Fax:305-631-7022
Practice Address - Street 1:1332 W FLAGLER ST
Practice Address - Street 2:SUITE 1
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-2320
Practice Address - Country:US
Practice Address - Phone:305-631-7005
Practice Address - Fax:305-631-7022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health