Provider Demographics
NPI:1295124923
Name:ACHOY HOME CARE III, INC
Entity type:Organization
Organization Name:ACHOY HOME CARE III, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EYALINES
Authorized Official - Middle Name:
Authorized Official - Last Name:ACHOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-346-9782
Mailing Address - Street 1:14502 ROSEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2656
Mailing Address - Country:US
Mailing Address - Phone:786-346-9782
Mailing Address - Fax:305-887-3245
Practice Address - Street 1:14502 ROSEWOOD RD
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2656
Practice Address - Country:US
Practice Address - Phone:786-346-9782
Practice Address - Fax:305-887-3245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-19
Last Update Date:2015-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL12608310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility