Provider Demographics
NPI:1720729379
Name:SEMORAD HEALTHCARE INC.
Entity Type:Organization
Organization Name:SEMORAD HEALTHCARE INC.
Other - Org Name:SEMORAD HEALTHCARE INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-297-3752
Mailing Address - Street 1:1104 S POWERLINE RD STE 3
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33069-4310
Mailing Address - Country:US
Mailing Address - Phone:954-297-3752
Mailing Address - Fax:
Practice Address - Street 1:1104 S POWERLINE RD STE 3
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33069-4310
Practice Address - Country:US
Practice Address - Phone:954-297-3752
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-06
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL113875000Medicaid
NAOtherHOME HEALTH