Provider Demographics
NPI:1780417717
Name:AIDA HOME ASSISTANCE LLC
Entity type:Organization
Organization Name:AIDA HOME ASSISTANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHEILLA
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHACON MONETRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-241-0016
Mailing Address - Street 1:99 NW 183RD ST STE 242A
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33169-4551
Mailing Address - Country:US
Mailing Address - Phone:786-241-0016
Mailing Address - Fax:786-610-5569
Practice Address - Street 1:99 NW 183RD ST STE 242A
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33169-4551
Practice Address - Country:US
Practice Address - Phone:786-241-0016
Practice Address - Fax:786-610-5569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-23
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL30212818OtherAHCA