Provider Demographics
NPI:1306820840
Name:YOUR FAMILY HOME HEALTH CARE SERVICES, INC.
Entity Type:Organization
Organization Name:YOUR FAMILY HOME HEALTH CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMIN
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ MURO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-381-5921
Mailing Address - Street 1:10550 NW 77TH CT
Mailing Address - Street 2:SUITE 224
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33016-7084
Mailing Address - Country:US
Mailing Address - Phone:305-381-5921
Mailing Address - Fax:305-381-0005
Practice Address - Street 1:10550 NW 77TH CT
Practice Address - Street 2:SUITE 224
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33016-7084
Practice Address - Country:US
Practice Address - Phone:305-381-5921
Practice Address - Fax:305-381-0005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-29
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992274251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL651285200Medicaid
FL299992274OtherAHCA HHA LICENSE
FL299992274OtherAHCA HHA LICENSE