Healthcare Provider Details

I. General information

NPI: 1023068202
Provider Name (Legal Business Name): HEALTH CARE FAMILY REHABILITATION CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 02/08/2021
Certification Date: 02/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 NW 183RD ST STE 311
HIALEAH FL
33015-6008
US

IV. Provider business mailing address

5901 NW 183RD ST STE 311
HIALEAH FL
33015-6008
US

V. Phone/Fax

Practice location:
  • Phone: 786-333-3961
  • Fax: 305-819-3327
Mailing address:
  • Phone: 786-333-3961
  • Fax: 305-819-3327

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JANNY ALFONSO
Title or Position: ADMINISTRATOR
Credential:
Phone: 305-819-3133