Provider Demographics
NPI:1508969478
Name:AMERICANA HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:AMERICANA HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:GINETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:RAYMOND
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:305-655-0609
Mailing Address - Street 1:633 NE 167TH ST
Mailing Address - Street 2:SUITE 607
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-2442
Mailing Address - Country:US
Mailing Address - Phone:305-655-0609
Mailing Address - Fax:305-655-0966
Practice Address - Street 1:633 NE 167TH ST
Practice Address - Street 2:SUITE 607
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-2442
Practice Address - Country:US
Practice Address - Phone:305-655-0609
Practice Address - Fax:305-655-0966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2009-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992023251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL651137600Medicaid
FL108199Medicare ID - Type UnspecifiedMEDICARE NUMBER