Provider Demographics
NPI:1790095792
Name:BREEZE HEALTH CARE,INC.
Entity Type:Organization
Organization Name:BREEZE HEALTH CARE,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:KAMIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-644-3461
Mailing Address - Street 1:19501 NE 10TH AVE STE 305
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33179-3502
Mailing Address - Country:US
Mailing Address - Phone:305-644-3461
Mailing Address - Fax:305-749-6851
Practice Address - Street 1:19501 NE 10TH AVE STE 305
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33179-3502
Practice Address - Country:US
Practice Address - Phone:305-644-3461
Practice Address - Fax:305-749-6851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-09
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299993501251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL109561Medicare PIN