Provider Demographics
NPI:1346412434
Name:COLONIAL HOME HEALTH, INC.
Entity Type:Organization
Organization Name:COLONIAL HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:YOSVANI
Authorized Official - Middle Name:
Authorized Official - Last Name:CORREA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:305-267-0422
Mailing Address - Street 1:8500 SW 8TH ST
Mailing Address - Street 2:SUITE 250
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-4055
Mailing Address - Country:US
Mailing Address - Phone:305-267-0422
Mailing Address - Fax:305-267-0423
Practice Address - Street 1:8500 SW 8TH ST
Practice Address - Street 2:SUITE 250
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-4055
Practice Address - Country:US
Practice Address - Phone:305-267-0422
Practice Address - Fax:305-267-0423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-28
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health