Provider Demographics
NPI:1467072793
Name:CHENG'S FAMILY HOUSING INC.
Entity Type:Organization
Organization Name:CHENG'S FAMILY HOUSING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EDWIDTH
Authorized Official - Middle Name:S
Authorized Official - Last Name:CHENG
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:305-910-5007
Mailing Address - Street 1:25641 SW 133RD CT
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-6846
Mailing Address - Country:US
Mailing Address - Phone:305-300-7157
Mailing Address - Fax:305-771-9114
Practice Address - Street 1:1501 SW 2ND CT
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030-6675
Practice Address - Country:US
Practice Address - Phone:305-910-5007
Practice Address - Fax:305-771-9114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-16
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1109441OtherNURSE