Provider Demographics
NPI:1205899788
Name:HRC HOME HEALTH SERVICES-BROWARD, LLC
Entity type:Organization
Organization Name:HRC HOME HEALTH SERVICES-BROWARD, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:P
Authorized Official - Last Name:HOSTLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-359-7200
Mailing Address - Street 1:201 NW 82ND AVE STE 203A
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-1854
Mailing Address - Country:US
Mailing Address - Phone:954-472-8212
Mailing Address - Fax:954-472-8213
Practice Address - Street 1:201 NW 82ND AVE STE 203A
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-1854
Practice Address - Country:US
Practice Address - Phone:954-472-8212
Practice Address - Fax:954-472-8213
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTHCARE RESOURCE COMPANY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-04-07
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA299991979251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHHA299991979OtherLICENSE
FL108126Medicare ID - Type UnspecifiedMEDICARE PROVIDER ID