Provider Demographics
NPI:1770721706
Name:PRIORITY HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:PRIORITY HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GUILLERMO
Authorized Official - Middle Name:MIGUEL
Authorized Official - Last Name:FORNARIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-412-6303
Mailing Address - Street 1:9380 SW 72ND ST
Mailing Address - Street 2:SUITE# B-207
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3276
Mailing Address - Country:US
Mailing Address - Phone:305-412-6303
Mailing Address - Fax:305-412-6306
Practice Address - Street 1:9380 SW 72ND ST
Practice Address - Street 2:SUITE# B-207
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3276
Practice Address - Country:US
Practice Address - Phone:305-412-6303
Practice Address - Fax:305-412-6306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-29
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992779251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health