Provider Demographics
NPI:1063465896
Name:ENJOYABLE HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:ENJOYABLE HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AURELIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DORICENT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:786-507-1515
Mailing Address - Street 1:915 NE 125TH ST
Mailing Address - Street 2:302
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-5722
Mailing Address - Country:US
Mailing Address - Phone:786-507-1515
Mailing Address - Fax:786-507-1516
Practice Address - Street 1:915 NE 125TH ST
Practice Address - Street 2:302
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-5722
Practice Address - Country:US
Practice Address - Phone:786-507-1515
Practice Address - Fax:786-507-1516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992368251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL651351400Medicaid
FL651351400Medicaid