Provider Demographics
NPI:1215197645
Name:BROWARD HOME HEALTH LLC
Entity Type:Organization
Organization Name:BROWARD HOME HEALTH LLC
Other - Org Name:COMFORCARE SENIOR SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:STONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-946-1960
Mailing Address - Street 1:440 E SAMPLE RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-4444
Mailing Address - Country:US
Mailing Address - Phone:954-946-1960
Mailing Address - Fax:954-946-1970
Practice Address - Street 1:440 E SAMPLE RD
Practice Address - Street 2:SUITE 108
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-4444
Practice Address - Country:US
Practice Address - Phone:954-946-1960
Practice Address - Fax:954-946-1970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-10
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299993169251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health