Provider Demographics
NPI:1023075025
Name:BEST HOME CARE, INC.
Entity type:Organization
Organization Name:BEST HOME CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TYRONE
Authorized Official - Middle Name:FRAY
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:305-364-0017
Mailing Address - Street 1:9500 NW 77TH AVE
Mailing Address - Street 2:SUITE 18
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33016-2530
Mailing Address - Country:US
Mailing Address - Phone:305-364-0017
Mailing Address - Fax:305-364-7022
Practice Address - Street 1:9500 NW 77TH AVE
Practice Address - Street 2:SUITE 18
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33016-2530
Practice Address - Country:US
Practice Address - Phone:305-364-0017
Practice Address - Fax:305-364-7022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-26
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299991782251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL651183000Medicaid
FL651183000Medicaid