Provider Demographics
NPI:1669441366
Name:REPUTABLE HEALTH CARE INC.
Entity Type:Organization
Organization Name:REPUTABLE HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:SPENCE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:954-434-6288
Mailing Address - Street 1:5400 S UNIVERSITY DR
Mailing Address - Street 2:SUITE 206A
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-5312
Mailing Address - Country:US
Mailing Address - Phone:954-434-6288
Mailing Address - Fax:954-434-8780
Practice Address - Street 1:5400 S UNIVERSITY DR
Practice Address - Street 2:SUITE 206A
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-5312
Practice Address - Country:US
Practice Address - Phone:954-434-6288
Practice Address - Fax:954-434-8780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-15
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992061251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL651155400Medicaid
FL108200Medicare ID - Type UnspecifiedHOME HEALTH