Provider Demographics
NPI:1013970789
Name:ALL BROWARD HOME CARE SERVICES, LLC
Entity Type:Organization
Organization Name:ALL BROWARD HOME CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:J
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-684-4876
Mailing Address - Street 1:4901 NW 17TH WAY
Mailing Address - Street 2:#100-A
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-3780
Mailing Address - Country:US
Mailing Address - Phone:954-577-6150
Mailing Address - Fax:954-577-5571
Practice Address - Street 1:4901 NW 17TH WAY
Practice Address - Street 2:#100-A
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-3780
Practice Address - Country:US
Practice Address - Phone:954-577-6150
Practice Address - Fax:954-577-5571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL107651Medicare ID - Type Unspecified