Provider Demographics
NPI:1669491650
Name:HUMANITY HOME HEALTH CARE, INC
Entity Type:Organization
Organization Name:HUMANITY HOME HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALT ADM, DON
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:O
Authorized Official - Last Name:CORRO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:305-264-0230
Mailing Address - Street 1:85 GRAND CANAL DR STE 305
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2569
Mailing Address - Country:US
Mailing Address - Phone:305-264-0230
Mailing Address - Fax:305-264-0231
Practice Address - Street 1:85 GRAND CANAL DR STE 305
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2569
Practice Address - Country:US
Practice Address - Phone:305-264-0230
Practice Address - Fax:305-264-0231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992437251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL651412000Medicaid
FL651412000Medicaid