Provider Demographics
NPI:1396105383
Name:MIAMI CARE TEAM HOME HEALTH
Entity type:Organization
Organization Name:MIAMI CARE TEAM HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EUGENIO
Authorized Official - Middle Name:
Authorized Official - Last Name:LLAMERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-644-4144
Mailing Address - Street 1:142 BEACOM BLVD
Mailing Address - Street 2:STE A
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-1534
Mailing Address - Country:US
Mailing Address - Phone:305-644-4144
Mailing Address - Fax:305-644-4146
Practice Address - Street 1:142 BEACOM BLVD
Practice Address - Street 2:STE A
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-1534
Practice Address - Country:US
Practice Address - Phone:305-644-4144
Practice Address - Fax:305-644-4146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-03
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299993242251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL109320OtherPTAN