Healthcare Provider Details

I. General information

NPI: 1861279945
Provider Name (Legal Business Name): DDS HOME HEALTHCARE SERVICES,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2023
Last Update Date: 09/12/2023
Certification Date: 09/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3939 HOLLYWOOD BLVD STE 1A
HOLLYWOOD FL
33021-6749
US

IV. Provider business mailing address

3939 HOLLYWOOD BLVD STE 1A
HOLLYWOOD FL
33021-6749
US

V. Phone/Fax

Practice location:
  • Phone: 754-204-3529
  • Fax:
Mailing address:
  • Phone: 754-204-3529
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. STEPHANIE THOMAS
Title or Position: CEO
Credential:
Phone: 754-204-3529