Provider Demographics
NPI:1619474889
Name:FILIPINO AMERICAN HOME HEALTH AGANCY INC
Entity Type:Organization
Organization Name:FILIPINO AMERICAN HOME HEALTH AGANCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMUNDO
Authorized Official - Middle Name:
Authorized Official - Last Name:SIBUCAO
Authorized Official - Suffix:JR
Authorized Official - Credentials:RN
Authorized Official - Phone:954-600-6127
Mailing Address - Street 1:1938 NW 74TH AVE
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-1055
Mailing Address - Country:US
Mailing Address - Phone:954-600-6127
Mailing Address - Fax:
Practice Address - Street 1:659 NE 125TH ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-5503
Practice Address - Country:US
Practice Address - Phone:305-974-7591
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-12
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health