Provider Demographics
NPI:1073080784
Name:MELCHORS HUMANITY HEALTHCARE INC
Entity Type:Organization
Organization Name:MELCHORS HUMANITY HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YUSIMID
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ MELCHOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-367-8559
Mailing Address - Street 1:5666 SW 129TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-1240
Mailing Address - Country:US
Mailing Address - Phone:786-367-8559
Mailing Address - Fax:
Practice Address - Street 1:5666 SW 129TH PL
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-1240
Practice Address - Country:US
Practice Address - Phone:786-367-8559
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-31
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care