Provider Demographics
NPI:1720205321
Name:S & G HOME HEALTH CARE, INC
Entity Type:Organization
Organization Name:S & G HOME HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YIRIANIS
Authorized Official - Middle Name:
Authorized Official - Last Name:GASCA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-312-0373
Mailing Address - Street 1:2300 NW 94TH AVE
Mailing Address - Street 2:SUITE 208
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33172-2343
Mailing Address - Country:US
Mailing Address - Phone:305-883-9455
Mailing Address - Fax:305-884-8739
Practice Address - Street 1:2300 NW 94TH AVE
Practice Address - Street 2:SUITE 208
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33172-2343
Practice Address - Country:US
Practice Address - Phone:305-883-9455
Practice Address - Fax:305-884-8739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health