Provider Demographics
NPI:1356369391
Name:BLUECARE HOME HEALTH SERVICES INC
Entity type:Organization
Organization Name:BLUECARE HOME HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ADALBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:AGUILERA
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER/PRESIDENT
Authorized Official - Phone:305-207-1700
Mailing Address - Street 1:13012 SW 128TH ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-5880
Mailing Address - Country:US
Mailing Address - Phone:305-207-1700
Mailing Address - Fax:305-207-7171
Practice Address - Street 1:13012 SW 128TH ST
Practice Address - Street 2:SUITE B
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5880
Practice Address - Country:US
Practice Address - Phone:305-207-1700
Practice Address - Fax:305-207-7171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA299991956251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108228Medicare ID - Type UnspecifiedMEDICARE PROVIDER