Provider Demographics
NPI:1255538989
Name:GERIATRIC AND PEDIATRIC HOME HEALTHCARE INC.
Entity type:Organization
Organization Name:GERIATRIC AND PEDIATRIC HOME HEALTHCARE INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER CEO OFFICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ROSALYN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARIEF
Authorized Official - Suffix:
Authorized Official - Credentials:BUSINESS ADMIN
Authorized Official - Phone:954-479-8685
Mailing Address - Street 1:7402 NW 51ST WAY
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-2735
Mailing Address - Country:US
Mailing Address - Phone:954-479-8685
Mailing Address - Fax:954-420-9797
Practice Address - Street 1:7402 NW 51ST WAY
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-2735
Practice Address - Country:US
Practice Address - Phone:954-479-8685
Practice Address - Fax:954-420-9797
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GERIATRIC AND PEDIATRIC HOME HEALTHCARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-06-27
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health