Provider Demographics
NPI:1245005933
Name:FAR WEST HELPING FOUNDATION CORP
Entity type:Organization
Organization Name:FAR WEST HELPING FOUNDATION CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER.
Authorized Official - Prefix:MR
Authorized Official - First Name:CLEBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MERAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:754-265-5870
Mailing Address - Street 1:PO BOX 695085
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33269-2085
Mailing Address - Country:US
Mailing Address - Phone:239-851-5058
Mailing Address - Fax:
Practice Address - Street 1:130 ENTERPRISE AVE SE STE F
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32909-3955
Practice Address - Country:US
Practice Address - Phone:754-265-5870
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-22
Last Update Date:2023-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347B00000XTransportation ServicesBus
No347C00000XTransportation ServicesPrivate Vehicle
No347E00000XTransportation ServicesTransportation Broker