Healthcare Provider Details

I. General information

NPI: 1083248355
Provider Name (Legal Business Name): AAIDEBOOK INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2020
Last Update Date: 09/24/2021
Certification Date: 09/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1960 NE 47TH ST STE 100
FORT LAUDERDALE FL
33308-7708
US

IV. Provider business mailing address

1960 NE 47TH ST STE 100
FORT LAUDERDALE FL
33308-7708
US

V. Phone/Fax

Practice location:
  • Phone: 888-469-8367
  • Fax: 954-827-7985
Mailing address:
  • Phone: 888-469-8367
  • Fax: 954-827-7985

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: KARL PIERRE
Title or Position: PRESIDENT
Credential:
Phone: 347-256-2977