Provider Demographics
NPI:1508008756
Name:BROTHERS HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:BROTHERS HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VILMA
Authorized Official - Middle Name:H
Authorized Official - Last Name:ROMERO DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-406-9445
Mailing Address - Street 1:12905 SW 42ND ST
Mailing Address - Street 2:SUITE 209
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-2905
Mailing Address - Country:US
Mailing Address - Phone:305-406-9445
Mailing Address - Fax:305-406-9446
Practice Address - Street 1:3900 NW 79TH AVE
Practice Address - Street 2:SUITE 569
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6556
Practice Address - Country:US
Practice Address - Phone:305-406-9445
Practice Address - Fax:305-406-9446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-02
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299993530251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health