Provider Demographics
NPI:1740450733
Name:A SELECT GROUP HOME HEALTH CARE INC
Entity type:Organization
Organization Name:A SELECT GROUP HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-477-6603
Mailing Address - Street 1:4113 NW 135TH ST
Mailing Address - Street 2:
Mailing Address - City:OPA LOCKA
Mailing Address - State:FL
Mailing Address - Zip Code:33054-4615
Mailing Address - Country:US
Mailing Address - Phone:305-477-6603
Mailing Address - Fax:305-477-6605
Practice Address - Street 1:4113 NW 135TH ST
Practice Address - Street 2:
Practice Address - City:OPA LOCKA
Practice Address - State:FL
Practice Address - Zip Code:33054-4615
Practice Address - Country:US
Practice Address - Phone:305-477-6603
Practice Address - Fax:305-477-6605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-05
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992769251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health