Provider Demographics
NPI:1902208663
Name:A1 FAMILY HEALTHCARE INC
Entity Type:Organization
Organization Name:A1 FAMILY HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-271-4406
Mailing Address - Street 1:5931 RIVIERA DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32808-2121
Mailing Address - Country:US
Mailing Address - Phone:407-271-4406
Mailing Address - Fax:407-271-4406
Practice Address - Street 1:5931 RIVIERA DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32808-2121
Practice Address - Country:US
Practice Address - Phone:407-271-4406
Practice Address - Fax:407-271-4406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-24
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL010752300Medicaid
FL010752301Medicaid