Provider Demographics
NPI:1417422304
Name:CAREBRIDGE HOME HEALTH OF FLRORIDA
Entity Type:Organization
Organization Name:CAREBRIDGE HOME HEALTH OF FLRORIDA
Other - Org Name:CAREBRIDGE HOME HEALTH OF FLORIDA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-880-1660
Mailing Address - Street 1:1871 W OAKLAND PARK BLVD STE E
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33311-1517
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1871 WEST OAKLAND PARK BLVD
Practice Address - Street 2:SUITE E
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33311
Practice Address - Country:US
Practice Address - Phone:954-880-1660
Practice Address - Fax:954-200-8645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-08
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health