Provider Demographics
NPI:1326801267
Name:HAVINGNESS CARE SERVICES P.A
Entity Type:Organization
Organization Name:HAVINGNESS CARE SERVICES P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:E
Authorized Official - Last Name:GAMARDO
Authorized Official - Suffix:
Authorized Official - Credentials:P
Authorized Official - Phone:786-969-6298
Mailing Address - Street 1:13918 SW 172ND TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-2732
Mailing Address - Country:US
Mailing Address - Phone:786-969-6298
Mailing Address - Fax:786-713-5031
Practice Address - Street 1:2543 NW 72ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33122-1303
Practice Address - Country:US
Practice Address - Phone:786-969-6298
Practice Address - Fax:786-713-5031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-02
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health