Provider Demographics
NPI:1043406135
Name:AMALTHEA HOME HEALTH AGENCY CORP
Entity Type:Organization
Organization Name:AMALTHEA HOME HEALTH AGENCY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:CECILIA
Authorized Official - Last Name:SUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-819-4513
Mailing Address - Street 1:2100 W 76TH ST
Mailing Address - Street 2:SUITE 312
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5500
Mailing Address - Country:US
Mailing Address - Phone:305-819-4513
Mailing Address - Fax:305-819-4876
Practice Address - Street 1:2100 W 76TH ST
Practice Address - Street 2:SUITE 312
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-5500
Practice Address - Country:US
Practice Address - Phone:305-819-4513
Practice Address - Fax:305-819-4876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-21
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health