Provider Demographics
NPI:1003924994
Name:MAXIMUM CARE HOME HEALTH, INC.
Entity Type:Organization
Organization Name:MAXIMUM CARE HOME HEALTH, INC.
Other - Org Name:MAXIMUM CARE HOME HEALTH
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IVONNE
Authorized Official - Middle Name:E
Authorized Official - Last Name:AMADOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-403-2065
Mailing Address - Street 1:900 W 49TH ST STE 236
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-3443
Mailing Address - Country:US
Mailing Address - Phone:305-403-2065
Mailing Address - Fax:305-403-2066
Practice Address - Street 1:900 W 49TH ST
Practice Address - Street 2:STE 236
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3402
Practice Address - Country:US
Practice Address - Phone:305-403-2065
Practice Address - Fax:305-403-2066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992451251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
109044Medicare Oscar/Certification