Provider Demographics
NPI:1881714822
Name:SOUTH FLORIDA HOME CARE SERVICES INC
Entity type:Organization
Organization Name:SOUTH FLORIDA HOME CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:LIERMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-557-9625
Mailing Address - Street 1:14100 PALMETTO FRONTAGE RD
Mailing Address - Street 2:SUITE # 109
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1569
Mailing Address - Country:US
Mailing Address - Phone:305-557-9625
Mailing Address - Fax:305-557-9626
Practice Address - Street 1:14100 PALMETTO FRONTAGE RD
Practice Address - Street 2:SUITE # 109
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-1569
Practice Address - Country:US
Practice Address - Phone:305-557-9625
Practice Address - Fax:305-557-9626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-31
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL816296311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL109184OtherMEDICARE PROVIDER NUMBER