Provider Demographics
NPI:1851591226
Name:EXTRA CARE HOME HEALTH SERVICES
Entity Type:Organization
Organization Name:EXTRA CARE HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MISS
Authorized Official - First Name:MOHINI
Authorized Official - Middle Name:DAVI
Authorized Official - Last Name:DEWKINANDAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-822-7328
Mailing Address - Street 1:6412 N UNIVERSITY DR
Mailing Address - Street 2:STE 136
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-4055
Mailing Address - Country:US
Mailing Address - Phone:954-721-2273
Mailing Address - Fax:
Practice Address - Street 1:6412 N UNIVERSITY DR
Practice Address - Street 2:STE 136
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-4055
Practice Address - Country:US
Practice Address - Phone:954-721-2273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health