Provider Demographics
NPI:1578176293
Name:HAUMEA HEALTH HOME CARE LLC
Entity Type:Organization
Organization Name:HAUMEA HEALTH HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ILAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PREIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-775-0214
Mailing Address - Street 1:200 LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-2334
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:200 LOCUST ST
Practice Address - Street 2:
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-2334
Practice Address - Country:US
Practice Address - Phone:305-775-0214
Practice Address - Fax:347-273-8052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-24
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care