Provider Demographics
NPI:1831256619
Name:A & A HEALTH SERVICE, INC.
Entity type:Organization
Organization Name:A & A HEALTH SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARICELA
Authorized Official - Middle Name:
Authorized Official - Last Name:DELGADO-GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-825-2112
Mailing Address - Street 1:3408 W 84TH ST
Mailing Address - Street 2:BUILDING G, SUITE 204
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-4939
Mailing Address - Country:US
Mailing Address - Phone:305-825-2112
Mailing Address - Fax:305-825-2242
Practice Address - Street 1:3408 W 84TH ST
Practice Address - Street 2:BUILDING G, SUITE 204
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33018-4939
Practice Address - Country:US
Practice Address - Phone:305-825-2112
Practice Address - Fax:305-825-2242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA299991638251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL650983500Medicaid
FL686513596OtherAREA XI HOME & COMMUNITY
FL686513598OtherAREA XI FAMILY & SUPPORTE
FL265466OtherAMERIGROUP
FL6000201OtherEVERCARE
FL686513579OtherBRAIN & SPINE CORD WAIVER
FL686513596OtherAREA XI HOME & COMMUNITY