Provider Demographics
NPI:1265957302
Name:HOMEMAKER COMNPANION SERVICES OF SOUTH FLORIDA LLC
Entity type:Organization
Organization Name:HOMEMAKER COMNPANION SERVICES OF SOUTH FLORIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:STEVENSON
Authorized Official - Middle Name:
Authorized Official - Last Name:BENOIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-239-9786
Mailing Address - Street 1:8900 SW 117TH AVE STE B201
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-2184
Mailing Address - Country:US
Mailing Address - Phone:305-239-9786
Mailing Address - Fax:
Practice Address - Street 1:8900 SW 117TH AVE STE B201
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-2184
Practice Address - Country:US
Practice Address - Phone:305-239-9786
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-10
Last Update Date:2019-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care