Provider Demographics
NPI:1417108952
Name:FAMILY TRUST HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:FAMILY TRUST HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:786-317-0390
Mailing Address - Street 1:8600 NW 53RD TER
Mailing Address - Street 2:STE 105
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-4536
Mailing Address - Country:US
Mailing Address - Phone:786-317-0390
Mailing Address - Fax:305-597-5141
Practice Address - Street 1:8600 NW 53RD TER
Practice Address - Street 2:STE 105
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-4536
Practice Address - Country:US
Practice Address - Phone:786-317-0390
Practice Address - Fax:305-597-5141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-02
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health