Provider Demographics
NPI:1801019054
Name:ALEX HOME CARE SUPPLIES, INC.
Entity Type:Organization
Organization Name:ALEX HOME CARE SUPPLIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUANA
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-966-6932
Mailing Address - Street 1:3590 S STATE ROAD 7
Mailing Address - Street 2:SUITE 3
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-5284
Mailing Address - Country:US
Mailing Address - Phone:954-966-6932
Mailing Address - Fax:954-966-6931
Practice Address - Street 1:3590 S STATE ROAD 7
Practice Address - Street 2:SUITE 3
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-5284
Practice Address - Country:US
Practice Address - Phone:954-966-6932
Practice Address - Fax:954-966-6931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1312488332B00000X
FL3204139332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5356820001Medicare ID - Type UnspecifiedMEDICARE PROVIDER #