Provider Demographics
NPI:1275017220
Name:HOME CARE & BAHAVIOR SUPPORT INC
Entity Type:Organization
Organization Name:HOME CARE & BAHAVIOR SUPPORT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EGLIS
Authorized Official - Middle Name:
Authorized Official - Last Name:TOMAS CARRALERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-731-7279
Mailing Address - Street 1:2527 BONNEVILLE DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32826-3313
Mailing Address - Country:US
Mailing Address - Phone:407-731-7279
Mailing Address - Fax:
Practice Address - Street 1:2527 BONNEVILLE DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32826-3313
Practice Address - Country:US
Practice Address - Phone:407-731-7279
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-15
Last Update Date:2018-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care