Provider Demographics
NPI:1043986177
Name:NANCY'S HOME CARE LLC
Entity Type:Organization
Organization Name:NANCY'S HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:T
Authorized Official - Last Name:DRIGG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-440-0426
Mailing Address - Street 1:10301 SW 51ST ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-6230
Mailing Address - Country:US
Mailing Address - Phone:305-274-1980
Mailing Address - Fax:305-274-4677
Practice Address - Street 1:10301 SW 51ST ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-6230
Practice Address - Country:US
Practice Address - Phone:305-274-1980
Practice Address - Fax:305-274-4677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-18
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL8926OtherAHCA