Provider Demographics
NPI:1447406210
Name:REALCARE HOME HEALTH INC.
Entity Type:Organization
Organization Name:REALCARE HOME HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANA
Authorized Official - Middle Name:LOURDES
Authorized Official - Last Name:MARTIN-HIDALGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-512-8689
Mailing Address - Street 1:6175 NW 167 ST
Mailing Address - Street 2:G-30
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015
Mailing Address - Country:US
Mailing Address - Phone:305-512-8689
Mailing Address - Fax:305-512-8608
Practice Address - Street 1:12781 MIRAMAR PARKWAY
Practice Address - Street 2:BLDG 1 STE 105
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027
Practice Address - Country:US
Practice Address - Phone:304-512-8689
Practice Address - Fax:305-512-8608
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REALCARE HOME HEALTH INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-08-13
Last Update Date:2010-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health