Provider Demographics
NPI:1821740994
Name:BORIS HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:BORIS HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NAYLAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSELLON
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:305-333-0575
Mailing Address - Street 1:5905 SW 28TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-3105
Mailing Address - Country:US
Mailing Address - Phone:305-209-8847
Mailing Address - Fax:
Practice Address - Street 1:1400 SW 27TH AVE STE 102
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-1239
Practice Address - Country:US
Practice Address - Phone:305-209-8847
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-20
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health