Provider Demographics
NPI:1225546286
Name:BIG FAMILY HOME HEALTH AGENCY LLC
Entity Type:Organization
Organization Name:BIG FAMILY HOME HEALTH AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:COUTCHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:POINT DU JOUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-369-5953
Mailing Address - Street 1:99 NW 183RD ST STE 130B
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33169-4555
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:99 NW 183RD ST STE 130B
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33169-4555
Practice Address - Country:US
Practice Address - Phone:786-369-5953
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-11
Last Update Date:2018-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health