Healthcare Provider Details

I. General information

NPI: 1588339444
Provider Name (Legal Business Name): ILS HHA OF BROWARD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2021
Last Update Date: 08/30/2023
Certification Date: 08/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 S PINE ISLAND RD STE 150
PLANTATION FL
33324-3918
US

IV. Provider business mailing address

950 S PINE ISLAND RD STE 150
PLANTATION FL
33324-3918
US

V. Phone/Fax

Practice location:
  • Phone: 844-372-8625
  • Fax:
Mailing address:
  • Phone: 844-372-8625
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: NESTOR PLANA
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 844-372-8625