Provider Demographics
NPI:1902817273
Name:READY CARE HOME HEALTH, LLC
Entity Type:Organization
Organization Name:READY CARE HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:BENZAQUEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-669-5957
Mailing Address - Street 1:19790 W DIXIE HWY STE 405
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-2294
Mailing Address - Country:US
Mailing Address - Phone:305-669-5957
Mailing Address - Fax:305-669-5145
Practice Address - Street 1:19790 W DIXIE HWY STE 405
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-2294
Practice Address - Country:US
Practice Address - Phone:305-669-5957
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992446251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL109002OtherMEDICARE
FL109002OtherMEDICARE