Provider Demographics
NPI:1164492260
Name:H & M HEALTH SERVICES INC.
Entity Type:Organization
Organization Name:H & M HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:AUDLEY
Authorized Official - Middle Name:MAYLOR
Authorized Official - Last Name:HEWETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-985-0770
Mailing Address - Street 1:4125 HOLLYWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-6734
Mailing Address - Country:US
Mailing Address - Phone:954-985-0770
Mailing Address - Fax:954-985-0734
Practice Address - Street 1:4125 HOLLYWOOD BLVD
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-6734
Practice Address - Country:US
Practice Address - Phone:954-985-0770
Practice Address - Fax:954-985-0734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL20425096251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL107455Medicare ID - Type Unspecified