Provider Demographics
NPI:1780863118
Name:CARE PLUS HOME HEALTH AGENCY, INC
Entity Type:Organization
Organization Name:CARE PLUS HOME HEALTH AGENCY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:MAUD
Authorized Official - Last Name:MORIN
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:305-974-5517
Mailing Address - Street 1:160 NW 176TH ST
Mailing Address - Street 2:SUITE 411
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33169-5021
Mailing Address - Country:US
Mailing Address - Phone:305-977-5517
Mailing Address - Fax:305-977-5516
Practice Address - Street 1:160 NW 176TH ST
Practice Address - Street 2:SUITE 411
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33169-5021
Practice Address - Country:US
Practice Address - Phone:305-977-5517
Practice Address - Fax:305-977-5516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-01
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992487251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL299992487OtherLICENSE