Healthcare Provider Details

I. General information

NPI: 1932715596
Provider Name (Legal Business Name): A PLACE TO CALL HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2020
Last Update Date: 09/18/2020
Certification Date: 09/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9917 NW 45TH ST
SUNRISE FL
33351-4744
US

IV. Provider business mailing address

9917 NW 45TH ST
SUNRISE FL
33351-4744
US

V. Phone/Fax

Practice location:
  • Phone: 954-759-1592
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name: TANYA COLE
Title or Position: OWNER
Credential:
Phone: 954-759-1592