Provider Demographics
NPI:1013322908
Name:ERENA IGBE CARE SERVICES, CORP
Entity Type:Organization
Organization Name:ERENA IGBE CARE SERVICES, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LIURYS
Authorized Official - Middle Name:
Authorized Official - Last Name:BUREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-400-8735
Mailing Address - Street 1:8900 SW 107TH AVE STE 307
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-1451
Mailing Address - Country:US
Mailing Address - Phone:305-400-8735
Mailing Address - Fax:786-431-1170
Practice Address - Street 1:8900 SW 107TH AVE STE 307
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1451
Practice Address - Country:US
Practice Address - Phone:305-400-8735
Practice Address - Fax:786-431-1170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-30
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL299995417Medicaid
FL005528100Medicaid