Provider Demographics
NPI:1710199856
Name:AAA HOME CARE INC
Entity Type:Organization
Organization Name:AAA HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:J
Authorized Official - Last Name:HEVERT
Authorized Official - Suffix:
Authorized Official - Credentials:RN CCM
Authorized Official - Phone:561-278-1224
Mailing Address - Street 1:1898 HILLSBORO BLVD
Mailing Address - Street 2:SUITE E
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442
Mailing Address - Country:US
Mailing Address - Phone:561-278-1224
Mailing Address - Fax:954-698-9046
Practice Address - Street 1:16244 S MILITARY TRAIL
Practice Address - Street 2:SUITE 440
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33464
Practice Address - Country:US
Practice Address - Phone:561-278-1224
Practice Address - Fax:954-698-9046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLJZ6OtherBLUE CROSS BLUE SHIELD
FLJZ6OtherBLUE CROSS BLUE SHIELD