Provider Demographics
NPI:1649205287
Name:TRI-COUNTY HOMECARE OF FLORIDA, INC.
Entity Type:Organization
Organization Name:TRI-COUNTY HOMECARE OF FLORIDA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDE
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPHENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-923-0695
Mailing Address - Street 1:2514 HOLLYWOOD BLVD STE 203
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-6637
Mailing Address - Country:US
Mailing Address - Phone:954-923-0695
Mailing Address - Fax:954-926-7429
Practice Address - Street 1:2514 HOLLYWOOD BLVD
Practice Address - Street 2:SUITE 203
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020
Practice Address - Country:US
Practice Address - Phone:954-923-0695
Practice Address - Fax:954-926-7429
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health