Provider Demographics
NPI:1669612545
Name:HOME HEALTH CARE MANAGEMENT SERVICES INC.
Entity type:Organization
Organization Name:HOME HEALTH CARE MANAGEMENT SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:OLLIVIERRE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:786-360-6619
Mailing Address - Street 1:10240 SW 56TH ST
Mailing Address - Street 2:SUITE 112C
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-7071
Mailing Address - Country:US
Mailing Address - Phone:786-360-6619
Mailing Address - Fax:786-360-6621
Practice Address - Street 1:10240 SW 56TH ST
Practice Address - Street 2:SUITE 112C
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-7071
Practice Address - Country:US
Practice Address - Phone:786-360-6619
Practice Address - Fax:786-360-6621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-04
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL992470100Medicaid