Provider Demographics
NPI:1831500487
Name:REINA'S HOME CARE, CORP.
Entity Type:Organization
Organization Name:REINA'S HOME CARE, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REINA
Authorized Official - Middle Name:
Authorized Official - Last Name:VALDES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-961-0177
Mailing Address - Street 1:8 MIAMI GARDENS RD
Mailing Address - Street 2:
Mailing Address - City:WEST PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33023-5236
Mailing Address - Country:US
Mailing Address - Phone:954-961-0177
Mailing Address - Fax:954-961-0177
Practice Address - Street 1:8 MIAMI GARDENS RD
Practice Address - Street 2:
Practice Address - City:WEST PARK
Practice Address - State:FL
Practice Address - Zip Code:33023-5236
Practice Address - Country:US
Practice Address - Phone:954-961-0177
Practice Address - Fax:954-961-0177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-16
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL12497310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility