Healthcare Provider Details

I. General information

NPI: 1952736522
Provider Name (Legal Business Name): HEALTHMAX HOME CARE SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2013
Last Update Date: 07/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1870 FOREST HILL BLVD SUITE 101
LAKE CLARKE SHORES FL
33406-8901
US

IV. Provider business mailing address

1870 FOREST HILL BLVD SUITE 101
LAKE CLARKE SHORES FL
33406-8901
US

V. Phone/Fax

Practice location:
  • Phone: 561-513-8144
  • Fax: 561-922-6851
Mailing address:
  • Phone: 561-513-8144
  • Fax: 561-922-6851

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHHA299994170
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MILTON MORENO
Title or Position: OWNER
Credential:
Phone: 561-513-8144