Provider Demographics
NPI:1770183600
Name:HOME SOLUTIONS HEALTHCARE LLC
Entity Type:Organization
Organization Name:HOME SOLUTIONS HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MS
Authorized Official - First Name:JUSTA
Authorized Official - Middle Name:
Authorized Official - Last Name:VICTORIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:954-549-6640
Mailing Address - Street 1:8971 NW 13TH ST
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33322-4408
Mailing Address - Country:US
Mailing Address - Phone:954-549-6640
Mailing Address - Fax:954-342-1878
Practice Address - Street 1:8360 W OAKLAND PARK BLVD STE 1D
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-7332
Practice Address - Country:US
Practice Address - Phone:954-549-6640
Practice Address - Fax:954-342-1878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-29
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty