Provider Demographics
NPI:1700067683
Name:ALL ABOUT YOU HOME HEALTH AGENCY, INC.
Entity Type:Organization
Organization Name:ALL ABOUT YOU HOME HEALTH AGENCY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BERGMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-416-0256
Mailing Address - Street 1:1499 W PALMETTO PARK RD
Mailing Address - Street 2:SUITE 159
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-3328
Mailing Address - Country:US
Mailing Address - Phone:561-416-0256
Mailing Address - Fax:561-416-0258
Practice Address - Street 1:1499 W PALMETTO PARK RD
Practice Address - Street 2:SUITE 159
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-3328
Practice Address - Country:US
Practice Address - Phone:561-416-0256
Practice Address - Fax:561-416-0258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-19
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992965251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL109462Medicare Oscar/Certification