Provider Demographics
NPI:1518904952
Name:REALCARE HOME HEALTH INC.
Entity Type:Organization
Organization Name:REALCARE HOME HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
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 167TH ST
Mailing Address - Street 2:G-30
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33015-4339
Mailing Address - Country:US
Mailing Address - Phone:305-512-8689
Mailing Address - Fax:305-512-8608
Practice Address - Street 1:6175 NW 167TH ST
Practice Address - Street 2:G-30
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33015-4339
Practice Address - Country:US
Practice Address - Phone:305-512-8689
Practice Address - Fax:305-512-8608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA299992081251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health