Provider Demographics
NPI:1821011214
Name:JDF HOME CARE, INC.
Entity Type:Organization
Organization Name:JDF HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ISSIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SOCORRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-229-6981
Mailing Address - Street 1:9100 CORAL WAY
Mailing Address - Street 2:SUITE 10
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-2076
Mailing Address - Country:US
Mailing Address - Phone:305-229-6981
Mailing Address - Fax:305-229-6986
Practice Address - Street 1:9100 CORAL WAY
Practice Address - Street 2:SUITE 10
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-2076
Practice Address - Country:US
Practice Address - Phone:305-229-6981
Practice Address - Fax:305-229-6986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA299991787251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL651085000Medicaid
FL651085000Medicaid