Provider Demographics
NPI:1467614941
Name:A NEW LIGHT HOME CARE, INC.
Entity Type:Organization
Organization Name:A NEW LIGHT HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:INES
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-261-0474
Mailing Address - Street 1:5970 NW 3RD ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-4765
Mailing Address - Country:US
Mailing Address - Phone:305-261-0474
Mailing Address - Fax:
Practice Address - Street 1:5970 NW 3RD ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-4765
Practice Address - Country:US
Practice Address - Phone:305-261-0474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLA/11231310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility