Provider Demographics
NPI:1619122645
Name:CAMILA'S HOME CARE LLC
Entity Type:Organization
Organization Name:CAMILA'S HOME CARE LLC
Other - Org Name:CAMILA'S HOME CARE I
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:NUNEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-401-7930
Mailing Address - Street 1:17 NE 107TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-7029
Mailing Address - Country:US
Mailing Address - Phone:305-401-7930
Mailing Address - Fax:786-953-4298
Practice Address - Street 1:17 NE 107TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-7029
Practice Address - Country:US
Practice Address - Phone:305-401-7930
Practice Address - Fax:786-953-4298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-18
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL11479310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility