Provider Demographics
NPI:1093840027
Name:ALLIED HOME CARE, INC.
Entity Type:Organization
Organization Name:ALLIED HOME CARE, INC.
Other - Org Name:CARTER HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:PETERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-947-7700
Mailing Address - Street 1:1901 S CONGRESS AVE
Mailing Address - Street 2:SUITE 330
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-6556
Mailing Address - Country:US
Mailing Address - Phone:561-369-5100
Mailing Address - Fax:561-732-3390
Practice Address - Street 1:1901 S CONGRESS AVE
Practice Address - Street 2:SUITE 330
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-6556
Practice Address - Country:US
Practice Address - Phone:561-369-5100
Practice Address - Fax:561-732-3390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA20110096251E00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL107265Medicare ID - Type Unspecified