Provider Demographics
NPI:1821413410
Name:TWO SISTER'S HOME CARE II CORP.
Entity Type:Organization
Organization Name:TWO SISTER'S HOME CARE II CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ODRISAMER
Authorized Official - Middle Name:
Authorized Official - Last Name:DESPAIGNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-662-4226
Mailing Address - Street 1:12335 NW 98 AVE
Mailing Address - Street 2:
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33018
Mailing Address - Country:US
Mailing Address - Phone:305-362-3707
Mailing Address - Fax:305-362-3707
Practice Address - Street 1:12335 NW 98 AVE
Practice Address - Street 2:
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33018
Practice Address - Country:US
Practice Address - Phone:305-362-3707
Practice Address - Fax:305-362-3707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-19
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL10285261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAL10285OtherALF LICENSE
FL141915300Medicaid