Provider Demographics
NPI:1649377995
Name:HEALTH SERVICES OF DADE, INC.
Entity type:Organization
Organization Name:HEALTH SERVICES OF DADE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANA
Authorized Official - Middle Name:
Authorized Official - Last Name:LINARES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-436-1449
Mailing Address - Street 1:1414 NW 107TH AVE
Mailing Address - Street 2:SUITE105
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33172-2732
Mailing Address - Country:US
Mailing Address - Phone:305-436-1449
Mailing Address - Fax:305-436-1450
Practice Address - Street 1:1414 NW 107TH AVE
Practice Address - Street 2:SUITE105
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33172-2732
Practice Address - Country:US
Practice Address - Phone:305-436-1449
Practice Address - Fax:305-436-1450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992212251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL691469100Medicaid
FL651292500Medicaid
FL651292500Medicaid