Provider Demographics
NPI:1437565447
Name:EILEEN CHEA HARAN
Entity Type:Organization
Organization Name:EILEEN CHEA HARAN
Other - Org Name:ALITA AND JOHN HARAN ALF
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:CHEA
Authorized Official - Last Name:HARAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-738-2369
Mailing Address - Street 1:1532 FLAMINGO CT
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33035-1025
Mailing Address - Country:US
Mailing Address - Phone:786-738-2369
Mailing Address - Fax:786-601-9198
Practice Address - Street 1:1532 FLAMINGO CT
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33035-1025
Practice Address - Country:US
Practice Address - Phone:786-738-2369
Practice Address - Fax:786-601-9198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-10
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL12192310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility