Provider Demographics
NPI:1265638050
Name:REDI NURSE HOME HEALTH SERVICES INC.
Entity Type:Organization
Organization Name:REDI NURSE HOME HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:BEATRIZ
Authorized Official - Middle Name:E
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:305-805-9901
Mailing Address - Street 1:730 SE 8TH ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-5646
Mailing Address - Country:US
Mailing Address - Phone:305-805-9901
Mailing Address - Fax:305-805-9902
Practice Address - Street 1:730 SE 8TH ST
Practice Address - Street 2:SUITE 110
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-5646
Practice Address - Country:US
Practice Address - Phone:305-805-9901
Practice Address - Fax:305-805-9902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-27
Last Update Date:2008-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL651694700Medicaid
FL651694700Medicaid