Provider Demographics
NPI:1417981390
Name:LA CARIDAD HOME HEALTH SERVICES, CORP.
Entity Type:Organization
Organization Name:LA CARIDAD HOME HEALTH SERVICES, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JESUS
Authorized Official - Middle Name:M
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-220-8446
Mailing Address - Street 1:9835 SW 72ND ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-4670
Mailing Address - Country:US
Mailing Address - Phone:305-220-8446
Mailing Address - Fax:305-220-8417
Practice Address - Street 1:9835 SW 72ND ST
Practice Address - Street 2:SUITE 210
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-4670
Practice Address - Country:US
Practice Address - Phone:305-220-8446
Practice Address - Fax:305-220-8417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992415251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health