Provider Demographics
NPI:1134450281
Name:INTER-COASTAL HOME HEALTH CARE, INC
Entity type:Organization
Organization Name:INTER-COASTAL HOME HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALTERNATE ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:AMOS
Authorized Official - Middle Name:
Authorized Official - Last Name:ARGENTINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-531-6190
Mailing Address - Street 1:201 SE 15TH TER STE 202
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-4464
Mailing Address - Country:US
Mailing Address - Phone:954-531-6190
Mailing Address - Fax:561-300-3488
Practice Address - Street 1:201 SE 15TH TER STE 202
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-4464
Practice Address - Country:US
Practice Address - Phone:954-531-6190
Practice Address - Fax:561-300-3488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-28
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA299993101251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health