Healthcare Provider Details

I. General information

NPI: 1750319802
Provider Name (Legal Business Name): HOMESTEAD THERAPEUTIC CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 07/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

449 N KROME AVE
HOMESTEAD FL
33030-6040
US

IV. Provider business mailing address

449 N KROME AVE
HOMESTEAD FL
33030-6040
US

V. Phone/Fax

Practice location:
  • Phone: 305-247-8767
  • Fax: 305-247-8467
Mailing address:
  • Phone: 305-247-8767
  • Fax: 305-247-8467

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA DE ARMAS
Title or Position: PRESIDENT
Credential:
Phone: 305-247-8767