Provider Demographics
NPI:1336193408
Name:LLERENA HOME HEALTH CARE INC.
Entity Type:Organization
Organization Name:LLERENA HOME HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LISET
Authorized Official - Middle Name:
Authorized Official - Last Name:LLERENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-228-5800
Mailing Address - Street 1:2500 SW 107TH AVE
Mailing Address - Street 2:SUITE 37
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-2470
Mailing Address - Country:US
Mailing Address - Phone:305-228-5800
Mailing Address - Fax:866-390-3568
Practice Address - Street 1:2500 SW 107TH AVE
Practice Address - Street 2:SUITE 37
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-2470
Practice Address - Country:US
Practice Address - Phone:305-228-5800
Practice Address - Fax:866-390-3562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-21
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA299992324251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health