Provider Demographics
NPI:1255575783
Name:NATIONWIDE IN HOME CARE CENTERS, INC.
Entity type:Organization
Organization Name:NATIONWIDE IN HOME CARE CENTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:GLENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-338-6105
Mailing Address - Street 1:7500 NW 25TH ST
Mailing Address - Street 2:SUITE 220-L
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1713
Mailing Address - Country:US
Mailing Address - Phone:786-338-6105
Mailing Address - Fax:786-338-6098
Practice Address - Street 1:7500 NW 25TH ST
Practice Address - Street 2:SUITE 220-L
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33122-1713
Practice Address - Country:US
Practice Address - Phone:786-338-6105
Practice Address - Fax:786-338-6098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-28
Last Update Date:2009-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health