Provider Demographics
NPI:1164657565
Name:HOME HEALTH R US ORLANDO LLC
Entity Type:Organization
Organization Name:HOME HEALTH R US ORLANDO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DON/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GONZALO
Authorized Official - Middle Name:
Authorized Official - Last Name:SUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:407-545-7783
Mailing Address - Street 1:2295 S HIAWASSEE RD
Mailing Address - Street 2:SUITE 201 D
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-8746
Mailing Address - Country:US
Mailing Address - Phone:407-545-7783
Mailing Address - Fax:800-717-2601
Practice Address - Street 1:2295 S HIAWASSEE RD
Practice Address - Street 2:SUITE 201 D
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-8746
Practice Address - Country:US
Practice Address - Phone:407-545-7783
Practice Address - Fax:800-717-2601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-28
Last Update Date:2009-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health