Provider Demographics
NPI:1306861208
Name:ALL FLORIDA HOME HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:ALL FLORIDA HOME HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MERCEDES
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP, FNP-BC
Authorized Official - Phone:305-263-9992
Mailing Address - Street 1:4601 NW 77TH AVENUE
Mailing Address - Street 2:SUITE A
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33166
Mailing Address - Country:US
Mailing Address - Phone:305-845-8585
Mailing Address - Fax:786-845-8586
Practice Address - Street 1:4601 NW 77TH AVENUE
Practice Address - Street 2:SUITE A
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33166
Practice Address - Country:US
Practice Address - Phone:305-263-9992
Practice Address - Fax:786-845-8586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2018-09-05
Deactivation Date:2018-08-23
Deactivation Code:
Reactivation Date:2018-09-05
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL299992599OtherAHCA
FL455105OtherTHE JOINT COMMISSION
FL800021974OtherCLIA
FL=========OtherTAX ID