Provider Demographics
NPI:1932390820
Name:DADE-KENDALL HOME HEALTHCARE SERVICES, INC
Entity Type:Organization
Organization Name:DADE-KENDALL HOME HEALTHCARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:YELINA
Authorized Official - Middle Name:I
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-662-8044
Mailing Address - Street 1:14331 SW 120TH STREET
Mailing Address - Street 2:SUITE-209
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186
Mailing Address - Country:US
Mailing Address - Phone:305-662-8040
Mailing Address - Fax:305-662-8095
Practice Address - Street 1:14331 SW 120TH STREET
Practice Address - Street 2:SUITE-209
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186
Practice Address - Country:US
Practice Address - Phone:305-662-8040
Practice Address - Fax:305-662-8095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-06
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health