Provider Demographics
NPI:1275785404
Name:HOMEMAKER & COMPANION SERVICES, INC.
Entity Type:Organization
Organization Name:HOMEMAKER & COMPANION SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT, CEO
Authorized Official - Prefix:
Authorized Official - First Name:GUILLERMO
Authorized Official - Middle Name:
Authorized Official - Last Name:VALENCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-259-7476
Mailing Address - Street 1:12170 SW 128TH CT STE 101
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-4662
Mailing Address - Country:US
Mailing Address - Phone:305-259-7476
Mailing Address - Fax:
Practice Address - Street 1:12170 SW 128TH CT
Practice Address - Street 2:SUITE 101
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-4661
Practice Address - Country:US
Practice Address - Phone:305-259-7476
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-21
Last Update Date:2010-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL692370498Medicaid
FL002083200Medicaid
FL692370496Medicaid