Provider Demographics
NPI:1013188010
Name:AG HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:AG HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALCIDES
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-822-3355
Mailing Address - Street 1:15291 NW 60TH AVE
Mailing Address - Street 2:SUITE 109
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2458
Mailing Address - Country:US
Mailing Address - Phone:305-822-3355
Mailing Address - Fax:305-822-4481
Practice Address - Street 1:15291 NW 60TH AVE
Practice Address - Street 2:SUITE 109
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2458
Practice Address - Country:US
Practice Address - Phone:305-822-3355
Practice Address - Fax:305-822-4481
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-18
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health