Provider Demographics
NPI:1780731182
Name:CARE CENTRAL HOME HEALTH SERVICES, CORP
Entity type:Organization
Organization Name:CARE CENTRAL HOME HEALTH SERVICES, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DON
Authorized Official - Prefix:MS
Authorized Official - First Name:CLOVER
Authorized Official - Middle Name:
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-717-0010
Mailing Address - Street 1:4300 N UNIVERSITY DR STE D202
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33351-6244
Mailing Address - Country:US
Mailing Address - Phone:954-717-0010
Mailing Address - Fax:954-318-0293
Practice Address - Street 1:4300 N UNIVERSITY DR
Practice Address - Street 2:SUITE D202
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33351-6244
Practice Address - Country:US
Practice Address - Phone:954-717-0010
Practice Address - Fax:954-318-0293
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARE CENTRAL HOME HEALTH SERVICES, CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-05
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299991853251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health