Provider Demographics
NPI:1710352976
Name:HOMELAND HOMEMAKER & COMPANION SERVICES
Entity Type:Organization
Organization Name:HOMELAND HOMEMAKER & COMPANION SERVICES
Other - Org Name:HOMELAND HEALTH SOLUTIONS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CUBILLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-272-2377
Mailing Address - Street 1:477 NORTH KROME AVE
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33030
Mailing Address - Country:US
Mailing Address - Phone:786-272-2377
Mailing Address - Fax:
Practice Address - Street 1:477 NORTH KROME AVE
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030
Practice Address - Country:US
Practice Address - Phone:786-272-2377
Practice Address - Fax:786-272-0451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-14
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 55442261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service