Provider Demographics
NPI:1780999573
Name:FLORIDA HOME BOUND MENTAL HEALTH AGENCY INC.
Entity type:Organization
Organization Name:FLORIDA HOME BOUND MENTAL HEALTH AGENCY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:BIGGS-OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:954-965-5558
Mailing Address - Street 1:3600 S STATE ROAD 7
Mailing Address - Street 2:SUITE 249
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-5200
Mailing Address - Country:US
Mailing Address - Phone:954-965-5558
Mailing Address - Fax:954-251-5644
Practice Address - Street 1:3600 S STATE ROAD 7
Practice Address - Street 2:STE 212-214
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-5200
Practice Address - Country:US
Practice Address - Phone:954-965-5558
Practice Address - Fax:954-251-5644
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FLORIDA HOME BOUND MENTAL HEALTH AGENCY INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-08-17
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992026251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health