Provider Demographics
NPI:1619312444
Name:ISAACHOMECARESERVICES
Entity Type:Organization
Organization Name:ISAACHOMECARESERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNERADMINSTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:ISAAC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-632-4559
Mailing Address - Street 1:1515 HUNTINGTON LN
Mailing Address - Street 2:APARTMENT617
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-2639
Mailing Address - Country:US
Mailing Address - Phone:321-632-4559
Mailing Address - Fax:321-632-4559
Practice Address - Street 1:1515 HUNTINGTON LN
Practice Address - Street 2:APARTMENT617
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-2639
Practice Address - Country:US
Practice Address - Phone:321-632-4559
Practice Address - Fax:321-632-4559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-07
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty