Provider Demographics
NPI:1114166493
Name:SANTA CLARA HOME HEALTH INC.
Entity Type:Organization
Organization Name:SANTA CLARA HOME HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSISICAN
Authorized Official - Prefix:
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:
Authorized Official - Last Name:LORA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-993-5558
Mailing Address - Street 1:5601 COLLINS AVE
Mailing Address - Street 2:CU-1
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2456
Mailing Address - Country:US
Mailing Address - Phone:305-993-5558
Mailing Address - Fax:305-993-5517
Practice Address - Street 1:5601 COLLINS AVE
Practice Address - Street 2:CU-1
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2456
Practice Address - Country:US
Practice Address - Phone:305-993-5558
Practice Address - Fax:305-993-5517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-11
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty