Provider Demographics
NPI:1457610982
Name:S & Y INVESTMENT OF SOUTH FLORIDA CORPORATION
Entity Type:Organization
Organization Name:S & Y INVESTMENT OF SOUTH FLORIDA CORPORATION
Other - Org Name:TOTAL CARE HOME HEALTH AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SRIDEIVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:DORTA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:786-518-3387
Mailing Address - Street 1:14331 SW 120TH ST
Mailing Address - Street 2:UNIT 109
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-7293
Mailing Address - Country:US
Mailing Address - Phone:786-518-3387
Mailing Address - Fax:786-518-3478
Practice Address - Street 1:14331 SW 120TH ST
Practice Address - Street 2:UNIT 109
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-7293
Practice Address - Country:US
Practice Address - Phone:786-518-3387
Practice Address - Fax:786-518-3478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-03
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty
No251E00000XAgenciesHome Health