Provider Demographics
NPI:1962662098
Name:CARE FIRST HOME HEALTH CORP.
Entity Type:Organization
Organization Name:CARE FIRST HOME HEALTH CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SERRANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-362-7077
Mailing Address - Street 1:8242 NW 103 ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33016-2202
Mailing Address - Country:US
Mailing Address - Phone:305-362-7077
Mailing Address - Fax:305-362-7078
Practice Address - Street 1:8242 NW 103RD ST
Practice Address - Street 2:
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33016-2202
Practice Address - Country:US
Practice Address - Phone:305-362-7077
Practice Address - Fax:305-362-7078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-12
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299993156251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLC2QOtherBC BS OF FLORIDA
FL299993156OtherAHCA
FL60054OtherAETNA PPO
FLC2QOtherBC BS OF FLORIDA