Provider Demographics
NPI:1942247853
Name:ALL METRO HOME CARE SERVICES OF FLORIDA, INC.
Entity Type:Organization
Organization Name:ALL METRO HOME CARE SERVICES OF FLORIDA, INC.
Other - Org Name:ALL METRO HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHAIRMAN, CEO AND PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:REDDING
Authorized Official - Last Name:MIXER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-750-9103
Mailing Address - Street 1:50 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:LYNBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11563-2519
Mailing Address - Country:US
Mailing Address - Phone:516-750-9103
Mailing Address - Fax:516-599-1041
Practice Address - Street 1:1402 SE 47TH ST
Practice Address - Street 2:UNIT 1
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-9656
Practice Address - Country:US
Practice Address - Phone:239-541-3033
Practice Address - Fax:239-541-7133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
108335Medicare Oscar/Certification
FL10-8335Medicare PIN