Provider Demographics
NPI:1912463134
Name:HOME CARE SERVICES OF SOUTH FLORIDA
Entity Type:Organization
Organization Name:HOME CARE SERVICES OF SOUTH FLORIDA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANCHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS-MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-819-7431
Mailing Address - Street 1:4930 NW 54TH ST
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-3712
Mailing Address - Country:US
Mailing Address - Phone:954-993-3307
Mailing Address - Fax:800-819-7458
Practice Address - Street 1:4930 NW 54TH ST
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-3712
Practice Address - Country:US
Practice Address - Phone:954-993-3307
Practice Address - Fax:800-819-7458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-12
Last Update Date:2019-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care