Provider Demographics
NPI:1710078084
Name:USA HOME CARE SOLUTION AGENCY, CORP.
Entity Type:Organization
Organization Name:USA HOME CARE SOLUTION AGENCY, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:VLADIMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:PRIETO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-643-6313
Mailing Address - Street 1:145 MADEIRA AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-4520
Mailing Address - Country:US
Mailing Address - Phone:305-643-6313
Mailing Address - Fax:305-643-2393
Practice Address - Street 1:145 MADEIRA AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-4520
Practice Address - Country:US
Practice Address - Phone:305-643-6313
Practice Address - Fax:305-643-2393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2010-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992035251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL109017Medicare Oscar/Certification