Provider Demographics
NPI:1205624913
Name:SUPPORT HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:SUPPORT HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:ELIZALDE SANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-456-1194
Mailing Address - Street 1:15485 EAGLE NEST LN STE 150
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2200
Mailing Address - Country:US
Mailing Address - Phone:305-456-1194
Mailing Address - Fax:305-456-1195
Practice Address - Street 1:15485 EAGLE NEST LN STE 150
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2200
Practice Address - Country:US
Practice Address - Phone:305-456-1194
Practice Address - Fax:305-456-1195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health