Provider Demographics
NPI:1265694988
Name:R G CARE HOME HEALTH CORP
Entity type:Organization
Organization Name:R G CARE HOME HEALTH CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIALOF
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA PUIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-267-3335
Mailing Address - Street 1:6741 CORAL WAY
Mailing Address - Street 2:SUITE 16
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-1762
Mailing Address - Country:US
Mailing Address - Phone:305-267-3335
Mailing Address - Fax:305-267-3336
Practice Address - Street 1:6741 CORAL WAY
Practice Address - Street 2:SUITE 16
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-1762
Practice Address - Country:US
Practice Address - Phone:305-267-3335
Practice Address - Fax:305-267-3336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPENDING MEDICARE#OtherPENDING MEDICARE#