Provider Demographics
NPI:1932766318
Name:IQ HOMECARE INC.
Entity Type:Organization
Organization Name:IQ HOMECARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GIORDANI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:305-748-7684
Mailing Address - Street 1:8910 MIRAMAR PKWY STE 109C
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-4187
Mailing Address - Country:US
Mailing Address - Phone:954-704-9256
Mailing Address - Fax:
Practice Address - Street 1:8910 MIRAMAR PKWY STE 109C
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-4187
Practice Address - Country:US
Practice Address - Phone:305-748-7684
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-21
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL004770600Medicaid