Provider Demographics
NPI:1558053199
Name:HER CARE SERVICES
Entity Type:Organization
Organization Name:HER CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BETSY
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ REYES
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:305-753-4965
Mailing Address - Street 1:8000 NW 31ST ST STE 19B
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1061
Mailing Address - Country:US
Mailing Address - Phone:305-753-4965
Mailing Address - Fax:
Practice Address - Street 1:8000 NW 31ST ST STE 19B
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33122-1061
Practice Address - Country:US
Practice Address - Phone:305-753-4965
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-23
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty