Provider Demographics
NPI:1336381581
Name:AHAVA CARE OF FLORIDA
Entity Type:Organization
Organization Name:AHAVA CARE OF FLORIDA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOURNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-477-6301
Mailing Address - Street 1:8045 NW 36TH ST
Mailing Address - Street 2:SUITE 500B
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6627
Mailing Address - Country:US
Mailing Address - Phone:305-477-6301
Mailing Address - Fax:305-477-6312
Practice Address - Street 1:8045 NW 36TH ST
Practice Address - Street 2:SUITE 500B
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6627
Practice Address - Country:US
Practice Address - Phone:305-477-6301
Practice Address - Fax:305-477-6312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-02
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health