Provider Demographics
NPI:1376535625
Name:BOCA HOME CARE INC
Entity Type:Organization
Organization Name:BOCA HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGERY
Authorized Official - Middle Name:
Authorized Official - Last Name:HARVEY-GRIFFITH
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RN
Authorized Official - Phone:561-989-0441
Mailing Address - Street 1:4700 NW 2ND AVE
Mailing Address - Street 2:402
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-4878
Mailing Address - Country:US
Mailing Address - Phone:561-989-0441
Mailing Address - Fax:561-989-0498
Practice Address - Street 1:4700 NW 2ND AVE
Practice Address - Street 2:402
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-4878
Practice Address - Country:US
Practice Address - Phone:561-989-0441
Practice Address - Fax:561-989-0498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-22
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
108146Medicare ID - Type Unspecified