Provider Demographics
NPI:1538302328
Name:HOME HEALTH CARE SERVICES OF SOUTH FLORIDA CORP
Entity Type:Organization
Organization Name:HOME HEALTH CARE SERVICES OF SOUTH FLORIDA CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAGDIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-986-6316
Mailing Address - Street 1:398 NE 79TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33138-4821
Mailing Address - Country:US
Mailing Address - Phone:305-986-6316
Mailing Address - Fax:
Practice Address - Street 1:398 NE 79TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33138-4821
Practice Address - Country:US
Practice Address - Phone:305-986-6316
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-09
Last Update Date:2009-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPENDING MEDICARE #OtherPENDING MEDICARE #