Provider Demographics
NPI:1760904320
Name:SMILING HEART HOME HEALTH SERVICES, LLC.
Entity Type:Organization
Organization Name:SMILING HEART HOME HEALTH SERVICES, LLC.
Other - Org Name:INDEPENDENT HOME HEALTH OF BROWARD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-827-6353
Mailing Address - Street 1:1022 NE 45TH STREET
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33334-3812
Mailing Address - Country:US
Mailing Address - Phone:754-423-1682
Mailing Address - Fax:954-451-5504
Practice Address - Street 1:1022 NE 45TH STREET
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33334-3812
Practice Address - Country:US
Practice Address - Phone:754-423-1682
Practice Address - Fax:954-451-5504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-14
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health