Healthcare Provider Details

I. General information

NPI: 1235609389
Provider Name (Legal Business Name): CMA HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2018
Last Update Date: 12/03/2018
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: 954-641-9586
  • Fax: 954-337-3322
Mailing address:
  • Phone: 954-641-9586
  • Fax: 954-337-3322

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CRAIG STEVEN DONNER
Title or Position: OWNER
Credential:
Phone: 954-732-2477