Provider Demographics
NPI:1154442069
Name:ALLIANCE HOME HEALTH OF BROWARD, INC.
Entity Type:Organization
Organization Name:ALLIANCE HOME HEALTH OF BROWARD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:HILDA
Authorized Official - Middle Name:
Authorized Official - Last Name:HANST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-880-0551
Mailing Address - Street 1:5240 S UNIVERSITY DR STE 105E
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-5320
Mailing Address - Country:US
Mailing Address - Phone:954-880-0551
Mailing Address - Fax:
Practice Address - Street 1:5240 SOUTH UNIVERSITY DRIVE SUITE 105-E
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-5308
Practice Address - Country:US
Practice Address - Phone:954-880-0551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992714251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL10-9138Medicare PIN