Provider Demographics
NPI:1447204847
Name:NURSEMED HOME CARE CORP
Entity Type:Organization
Organization Name:NURSEMED HOME CARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:FRANCISCO
Authorized Official - Last Name:MARRERO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:305-856-3440
Mailing Address - Street 1:2050 CORAL WAY
Mailing Address - Street 2:SUITE 508
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33145-2636
Mailing Address - Country:US
Mailing Address - Phone:305-856-3440
Mailing Address - Fax:
Practice Address - Street 1:2050 CORAL WAY
Practice Address - Street 2:SUITE 508
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33145-2636
Practice Address - Country:US
Practice Address - Phone:305-856-3440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108373Medicare Oscar/Certification