Provider Demographics
NPI:1053487975
Name:CONTINENTAL HOMECARE SERVICES
Entity Type:Organization
Organization Name:CONTINENTAL HOMECARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:PROF
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:IGNASIAK
Authorized Official - Suffix:JR
Authorized Official - Credentials:RRT
Authorized Official - Phone:954-742-3524
Mailing Address - Street 1:10242 NW 47TH ST
Mailing Address - Street 2:SUITE 28
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-7903
Mailing Address - Country:US
Mailing Address - Phone:954-742-3524
Mailing Address - Fax:954-746-3197
Practice Address - Street 1:10242 NW 47TH ST
Practice Address - Street 2:SUITE 28
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-7903
Practice Address - Country:US
Practice Address - Phone:954-742-3524
Practice Address - Fax:954-746-3197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-24
Last Update Date:2015-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHME643332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL029814000Medicaid
FL0379570001Medicare NSC