Provider Demographics
NPI:1790770501
Name:HOME HEALTH CORPORATION OF AMERICA, INC-FORT PIERCE HOME HEALTH SERV
Entity Type:Organization
Organization Name:HOME HEALTH CORPORATION OF AMERICA, INC-FORT PIERCE HOME HEALTH SERV
Other - Org Name:HOME HEALTH CORPORATION OF AMERICA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT-COMPLIANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:P
Authorized Official - Last Name:ANGELO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-205-2440
Mailing Address - Street 1:620 FREEDOM BUSINESS CTR DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-1330
Mailing Address - Country:US
Mailing Address - Phone:610-205-2440
Mailing Address - Fax:610-205-2468
Practice Address - Street 1:1901 S CONGRESS AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-6556
Practice Address - Country:US
Practice Address - Phone:561-742-7571
Practice Address - Fax:561-742-0436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========OtherVARIOUS
FL107210Medicare ID - Type UnspecifiedMEDICARE