Provider Demographics
NPI: | 1811923121 |
---|---|
Name: | ALL CARE HEALTH SERVICES OF MIAMI,CORP |
Entity type: | Organization |
Organization Name: | ALL CARE HEALTH SERVICES OF MIAMI,CORP |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | MRS |
Authorized Official - First Name: | MAILENE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | YANES |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD ( FOREIGN ) |
Authorized Official - Phone: | 305-275-7517 |
Mailing Address - Street 1: | 9240 SW 72ND ST |
Mailing Address - Street 2: | SUITE 106 |
Mailing Address - City: | MIAMI |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 33173-3261 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 305-275-7517 |
Mailing Address - Fax: | 305-275-7518 |
Practice Address - Street 1: | 9240 SW 72ND ST |
Practice Address - Street 2: | SUITE 106 |
Practice Address - City: | MIAMI |
Practice Address - State: | FL |
Practice Address - Zip Code: | 33173-3261 |
Practice Address - Country: | US |
Practice Address - Phone: | 305-275-7517 |
Practice Address - Fax: | 305-275-7518 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2006-06-25 |
Last Update Date: | 2009-06-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
FL | 299992410 | 251E00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251E00000X | Agencies | Home Health |