Provider Demographics
NPI:1619123544
Name:NATIONAL HOME ATTENDANTS INC
Entity Type:Organization
Organization Name:NATIONAL HOME ATTENDANTS INC
Other - Org Name:NATIONAL HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:F
Authorized Official - Last Name:GREAVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-450-0499
Mailing Address - Street 1:4801 S UNIVERSITY DR STE 120
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-3832
Mailing Address - Country:US
Mailing Address - Phone:954-450-0499
Mailing Address - Fax:954-450-1430
Practice Address - Street 1:4801 S UNIVERSITY DR STE 120
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-3832
Practice Address - Country:US
Practice Address - Phone:954-450-0499
Practice Address - Fax:954-450-1430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-12
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL21351096251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL683128100Medicaid