Provider Demographics
NPI:1245390541
Name:AGRAMONTE HOME CARE CORP
Entity Type:Organization
Organization Name:AGRAMONTE HOME CARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CLAUDETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:AGRAMONTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-274-4014
Mailing Address - Street 1:10691 SW 88TH ST
Mailing Address - Street 2:SUITE 311
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-1525
Mailing Address - Country:US
Mailing Address - Phone:305-274-4014
Mailing Address - Fax:305-630-9003
Practice Address - Street 1:10691 SW 88TH ST
Practice Address - Street 2:SUITE 311
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1525
Practice Address - Country:US
Practice Address - Phone:305-274-4014
Practice Address - Fax:305-630-9003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-10
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992702251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL109144Medicare Oscar/Certification