Provider Demographics
NPI:1114556396
Name:COLLADO HOME CARE SERVICES INC
Entity Type:Organization
Organization Name:COLLADO HOME CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:IRYS
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLADO COLLADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-603-3296
Mailing Address - Street 1:15315 NW 60TH AVE STE E
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2440
Mailing Address - Country:US
Mailing Address - Phone:786-603-3296
Mailing Address - Fax:786-408-5854
Practice Address - Street 1:15315 NW 60TH AVE STE E
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2440
Practice Address - Country:US
Practice Address - Phone:786-603-3296
Practice Address - Fax:786-408-5854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-08
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities