Healthcare Provider Details

I. General information

NPI: 1962970566
Provider Name (Legal Business Name): CMA HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2018
Last Update Date: 11/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1535 THREE VILLAGE RD
WESTON FL
33326-4026
US

IV. Provider business mailing address

1535 THREE VILLAGE RD
WESTON FL
33326-4026
US

V. Phone/Fax

Practice location:
  • Phone: 954-830-8983
  • Fax: 954-337-4647
Mailing address:
  • Phone: 954-830-8983
  • Fax: 954-337-4647

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ADAM ROSS
Title or Position: OWNER
Credential:
Phone: 954-830-8983