Provider Demographics
NPI:1568736155
Name:ACCREDITED HOME HEALTH CARE OF BROWARD, INC.
Entity Type:Organization
Organization Name:ACCREDITED HOME HEALTH CARE OF BROWARD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:YISEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PARAGES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-720-5040
Mailing Address - Street 1:7101 WEST COMMERCIAL BLVD.
Mailing Address - Street 2:SUITE 4-D
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33319
Mailing Address - Country:US
Mailing Address - Phone:954-720-5040
Mailing Address - Fax:954-720-5459
Practice Address - Street 1:7101 WEST COMMERCIAL BLVD.
Practice Address - Street 2:SUITE 4-D
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33319
Practice Address - Country:US
Practice Address - Phone:954-720-5040
Practice Address - Fax:954-720-5459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-29
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299993925251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health