Provider Demographics
NPI:1558601559
Name:ALL HEART HOME HEALTH CARE
Entity Type:Organization
Organization Name:ALL HEART HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-204-4941
Mailing Address - Street 1:12734 KENWOOD LN
Mailing Address - Street 2:SUITE 69
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-5666
Mailing Address - Country:US
Mailing Address - Phone:239-204-4941
Mailing Address - Fax:239-204-4932
Practice Address - Street 1:12734 KENWOOD LN
Practice Address - Street 2:SUITE 69
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-5666
Practice Address - Country:US
Practice Address - Phone:239-204-4941
Practice Address - Fax:239-204-4932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-27
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health