Provider Demographics
NPI:1689997389
Name:ALTERNATIVE HOME HEALTH CARE OF BROWARD COUNTY INC.
Entity Type:Organization
Organization Name:ALTERNATIVE HOME HEALTH CARE OF BROWARD COUNTY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-622-0588
Mailing Address - Street 1:6989 W COMMERCIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33319-2119
Mailing Address - Country:US
Mailing Address - Phone:954-622-0588
Mailing Address - Fax:
Practice Address - Street 1:6981 W COMMERCIAL BLVD
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33319-2119
Practice Address - Country:US
Practice Address - Phone:954-622-0588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-09
Last Update Date:2013-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA299991246251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL677921200Medicaid