Provider Demographics
NPI:1679349393
Name:HOME-WELL LIVING HEALTH CARE INC
Entity Type:Organization
Organization Name:HOME-WELL LIVING HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MASSENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-880-5565
Mailing Address - Street 1:8630 RAMBLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-7112
Mailing Address - Country:US
Mailing Address - Phone:954-796-6084
Mailing Address - Fax:954-796-9484
Practice Address - Street 1:8630 RAMBLEWOOD DR
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-7112
Practice Address - Country:US
Practice Address - Phone:954-796-6084
Practice Address - Fax:954-796-9484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility