Provider Demographics
NPI:1790729937
Name:NURSE TO GO HOME HEALTH CARE, CORP.
Entity Type:Organization
Organization Name:NURSE TO GO HOME HEALTH CARE, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:Z
Authorized Official - Last Name:OLIVA
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:305-554-7588
Mailing Address - Street 1:959 SW 122ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33184-2406
Mailing Address - Country:US
Mailing Address - Phone:305-554-7588
Mailing Address - Fax:305-554-1346
Practice Address - Street 1:959 SW 122ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33184-2406
Practice Address - Country:US
Practice Address - Phone:305-554-7588
Practice Address - Fax:305-554-1346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108243Medicare ID - Type Unspecified