Provider Demographics
NPI:1417104241
Name:D & J HOME HEALTH AGENCY, INC
Entity Type:Organization
Organization Name:D & J HOME HEALTH AGENCY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:V
Authorized Official - Last Name:VELOZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:305-596-4445
Mailing Address - Street 1:10300 SW 72ND ST
Mailing Address - Street 2:SUITE 307
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3012
Mailing Address - Country:US
Mailing Address - Phone:305-596-4445
Mailing Address - Fax:305-596-4449
Practice Address - Street 1:10300 SW 72ND ST
Practice Address - Street 2:SUITE 307
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3012
Practice Address - Country:US
Practice Address - Phone:305-596-4445
Practice Address - Fax:305-596-4449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-22
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN 9213594251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL123456789OtherNPI