Provider Demographics
NPI:1780801498
Name:DIMENSION HOME HEALTH CARE INC
Entity type:Organization
Organization Name:DIMENSION HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:ANAYS
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLAZO
Authorized Official - Suffix:
Authorized Official - Credentials:ADM
Authorized Official - Phone:305-819-6303
Mailing Address - Street 1:8325 WEST 24 AVE
Mailing Address - Street 2:BAY7
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-4358
Mailing Address - Country:US
Mailing Address - Phone:305-819-6303
Mailing Address - Fax:305-819-4005
Practice Address - Street 1:8325 WEST 24 AVE
Practice Address - Street 2:BAY7
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-4358
Practice Address - Country:US
Practice Address - Phone:305-819-6303
Practice Address - Fax:305-819-4005
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DIMENSION HOME HEALTH AGENCY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-20
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992483251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health