Provider Demographics
NPI:1023068202
Name:HEALTH CARE FAMILY REHABILITATION CORP
Entity type:Organization
Organization Name:HEALTH CARE FAMILY REHABILITATION CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALFONSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-819-3133
Mailing Address - Street 1:5901 NW 183RD ST STE 311
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-6008
Mailing Address - Country:US
Mailing Address - Phone:786-333-3961
Mailing Address - Fax:305-819-3327
Practice Address - Street 1:5901 NW 183RD ST STE 311
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-6008
Practice Address - Country:US
Practice Address - Phone:786-333-3961
Practice Address - Fax:305-819-3327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL686863OtherMEDICARE PROVIDER
FL686863Medicare Oscar/Certification