Healthcare Provider Details

I. General information

NPI: 1699198549
Provider Name (Legal Business Name): ALEXANDERA HEALTHCARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2014
Last Update Date: 01/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 INVERRARY BLVD SUITE 401-0
LAUDERHILL FL
33319-4382
US

IV. Provider business mailing address

3800 INVERRARY BLVD SUITE 401-0
LAUDERHILL FL
33319-4382
US

V. Phone/Fax

Practice location:
  • Phone: 954-861-7444
  • Fax: 877-606-6339
Mailing address:
  • Phone: 954-861-7444
  • Fax: 877-606-6339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number9999999
License Number StateFL

VIII. Authorized Official

Name: KEVIN M MARTINEAU
Title or Position: OWNER
Credential:
Phone: 954-861-7444