Provider Demographics
NPI:1295390128
Name:SIMPLY HOME CARE AGENCY, CORP
Entity Type:Organization
Organization Name:SIMPLY HOME CARE AGENCY, CORP
Other - Org Name:SIMPLY HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SURAMA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERRERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-603-9558
Mailing Address - Street 1:7805 CORAL WAY STE 125
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-6553
Mailing Address - Country:US
Mailing Address - Phone:305-603-9558
Mailing Address - Fax:786-870-1714
Practice Address - Street 1:7805 CORAL WAY STE 125
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-6553
Practice Address - Country:US
Practice Address - Phone:305-603-9558
Practice Address - Fax:786-870-1714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-06
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health