Provider Demographics
NPI:1346463742
Name:HOME HEALTH CARE PROVIDERS OF SOUTH FLORIDA, LLC
Entity Type:Organization
Organization Name:HOME HEALTH CARE PROVIDERS OF SOUTH FLORIDA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-438-6739
Mailing Address - Street 1:18044 NW 6 ST
Mailing Address - Street 2:SUITE #104
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-2824
Mailing Address - Country:US
Mailing Address - Phone:954-438-6739
Mailing Address - Fax:954-438-6740
Practice Address - Street 1:18044 NW 6TH ST
Practice Address - Street 2:SUITE #104
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33029-2824
Practice Address - Country:US
Practice Address - Phone:954-438-6739
Practice Address - Fax:954-438-6740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health