Provider Demographics
NPI:1689270126
Name:SEEDS HOME CARE LLC
Entity Type:Organization
Organization Name:SEEDS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUZIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ECCLESIASTE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:954-729-3378
Mailing Address - Street 1:750 E SAMPLE RD # B3-236
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-5144
Mailing Address - Country:US
Mailing Address - Phone:954-388-9811
Mailing Address - Fax:
Practice Address - Street 1:750 E SAMPLE RD # B3-236
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-5144
Practice Address - Country:US
Practice Address - Phone:954-388-9811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-09
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care