Provider Demographics
NPI:1093041394
Name:ALL FLORIDA HOMEMAKER SERVICES INC.
Entity Type:Organization
Organization Name:ALL FLORIDA HOMEMAKER SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ANA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEZCANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-264-4097
Mailing Address - Street 1:4702 SW 74TH AVE
Mailing Address - Street 2:STE B
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-4417
Mailing Address - Country:US
Mailing Address - Phone:305-264-4097
Mailing Address - Fax:305-264-4022
Practice Address - Street 1:4702 SW 74TH AVE
Practice Address - Street 2:STE B
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-4417
Practice Address - Country:US
Practice Address - Phone:305-264-4097
Practice Address - Fax:305-264-4022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-22
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2294668251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL690525100OtherMEDICAID ALLIANCE FOR AGING
FL229468OtherAHCA HOMEMAKER COMPANION SERVICE
FL690525100OtherMEDICAID ALLIANCE FOR AGING