Provider Demographics
NPI:1831342674
Name:GREEN CROSS HOME CARE SERVICES
Entity type:Organization
Organization Name:GREEN CROSS HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALINE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAFORTUNE
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP 1696722
Authorized Official - Phone:305-687-7714
Mailing Address - Street 1:15383 NW 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33169-6205
Mailing Address - Country:US
Mailing Address - Phone:305-687-7714
Mailing Address - Fax:305-687-4095
Practice Address - Street 1:2431 ALOMA AVE
Practice Address - Street 2:SUITE 125
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-2541
Practice Address - Country:US
Practice Address - Phone:305-687-7714
Practice Address - Fax:305-687-4095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-24
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health