Provider Demographics
NPI:1770867277
Name:HOMEWELL SENIOR CARE OF SOUTH FLORIDA
Entity Type:Organization
Organization Name:HOMEWELL SENIOR CARE OF SOUTH FLORIDA
Other - Org Name:DUPUY SENIOR HOME CARE,LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FINANCIAL OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUPUY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-205-5916
Mailing Address - Street 1:9100 S DADELAND BLVD
Mailing Address - Street 2:SUITE 1500
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-7814
Mailing Address - Country:US
Mailing Address - Phone:305-205-5916
Mailing Address - Fax:305-675-8200
Practice Address - Street 1:9100 S DADELAND BLVD
Practice Address - Street 2:SUITE 1500
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-7814
Practice Address - Country:US
Practice Address - Phone:305-205-5916
Practice Address - Fax:305-675-8200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-03
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health