Provider Demographics
NPI:1780804781
Name:COMMUNITY CARE NURSING LLC
Entity type:Organization
Organization Name:COMMUNITY CARE NURSING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-668-3011
Mailing Address - Street 1:7344 SW 48TH ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-5546
Mailing Address - Country:US
Mailing Address - Phone:305-668-3011
Mailing Address - Fax:305-668-3012
Practice Address - Street 1:7344 SW 48TH ST
Practice Address - Street 2:SUITE 202
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-5546
Practice Address - Country:US
Practice Address - Phone:305-668-3011
Practice Address - Fax:305-668-3012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992683251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health