Provider Demographics
NPI:1417914151
Name:EDU HOME HEALTH CARE SERVICES INC
Entity Type:Organization
Organization Name:EDU HOME HEALTH CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DON
Authorized Official - Prefix:MS
Authorized Official - First Name:BIBI
Authorized Official - Middle Name:A
Authorized Official - Last Name:LATIFF
Authorized Official - Suffix:
Authorized Official - Credentials:RN MSN ARNP
Authorized Official - Phone:305-207-5900
Mailing Address - Street 1:400 SW 107 AVE
Mailing Address - Street 2:SUITE 306A
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174
Mailing Address - Country:US
Mailing Address - Phone:305-207-5900
Mailing Address - Fax:305-207-5915
Practice Address - Street 1:400 SW 107 AVE
Practice Address - Street 2:SUITE 306A
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174
Practice Address - Country:US
Practice Address - Phone:305-207-5900
Practice Address - Fax:305-207-5915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-27
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108230Medicare ID - Type Unspecified
FL108230Medicare Oscar/Certification