Provider Demographics
NPI:1356351134
Name:CANDID HOME CARE INC
Entity type:Organization
Organization Name:CANDID HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:OSVALDO
Authorized Official - Middle Name:
Authorized Official - Last Name:ARTIGAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-898-9482
Mailing Address - Street 1:7200 SW 131ST AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-3460
Mailing Address - Country:US
Mailing Address - Phone:305-385-8380
Mailing Address - Fax:305-385-8267
Practice Address - Street 1:7200 SW 131ST AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-3460
Practice Address - Country:US
Practice Address - Phone:305-385-8380
Practice Address - Fax:305-385-8267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL141243400Medicaid
FL140190400Medicaid
FL678383000Medicaid
FL687591200Medicaid
FL142085200Medicaid
FL682044100Medicaid