Provider Demographics
NPI:1063502573
Name:FLORIDA HOME HEALTH ASSOCIATION, INC.
Entity Type:Organization
Organization Name:FLORIDA HOME HEALTH ASSOCIATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MILKA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:ALFARO
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:305-593-9275
Mailing Address - Street 1:8180 NW 36TH STREET
Mailing Address - Street 2:SUITE 409
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33166
Mailing Address - Country:US
Mailing Address - Phone:305-593-9275
Mailing Address - Fax:305-593-9609
Practice Address - Street 1:8180 NW 36TH STREET
Practice Address - Street 2:SUITE 409
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33166
Practice Address - Country:US
Practice Address - Phone:305-593-9275
Practice Address - Fax:305-593-9609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL534502-0251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL651048500Medicaid
FL651048500Medicaid