Provider Demographics
NPI:1548576770
Name:MY HOME ELDER CARE
Entity Type:Organization
Organization Name:MY HOME ELDER CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ISABEL
Authorized Official - Last Name:CARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-264-4412
Mailing Address - Street 1:5856 W FLAGLER ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-3363
Mailing Address - Country:US
Mailing Address - Phone:305-264-4412
Mailing Address - Fax:305-264-4408
Practice Address - Street 1:5856 W FLAGLER ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-3363
Practice Address - Country:US
Practice Address - Phone:305-264-4412
Practice Address - Fax:305-264-4408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-25
Last Update Date:2010-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9133261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care