Provider Demographics
NPI:1407518772
Name:365CARE HOME HEALTH AGENCY
Entity Type:Organization
Organization Name:365CARE HOME HEALTH AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MADIOLYS
Authorized Official - Middle Name:LUISA
Authorized Official - Last Name:LEON ALOMA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:786-420-1013
Mailing Address - Street 1:1250 SW 27TH AVE STE 403
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-4750
Mailing Address - Country:US
Mailing Address - Phone:786-353-2216
Mailing Address - Fax:786-353-1375
Practice Address - Street 1:1250 SW 27TH AVE STE 403
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-4750
Practice Address - Country:US
Practice Address - Phone:786-353-2216
Practice Address - Fax:786-353-1375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-13
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health