Provider Demographics
NPI:1972830412
Name:COLUMBIA HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:COLUMBIA HOME HEALTH CARE INC
Other - Org Name:COLUMBIA HOME HEALTH CARE INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR /OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDRES
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:305-219-8948
Mailing Address - Street 1:2151 N CONGRESS AVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-3283
Mailing Address - Country:US
Mailing Address - Phone:561-844-4959
Mailing Address - Fax:561-844-4950
Practice Address - Street 1:2151 N CONGRESS AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-3283
Practice Address - Country:US
Practice Address - Phone:561-844-4959
Practice Address - Fax:561-844-4950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-04
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health