=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013188093
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CARING FOR HEALTH HOME CARE, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/18/2008
-----------------------------------------------------
Last Update Date | 07/11/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3408 W 84TH ST STE 315
-----------------------------------------------------
City | HIALEAH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33018-4944
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-556-3036
-----------------------------------------------------
Fax | 305-556-2028
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3408 W 84TH ST SUITE # 315
-----------------------------------------------------
City | HIALEAH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33018-4944
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-556-3036
-----------------------------------------------------
Fax | 305-556-2028
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. PEDRO SAN JORGE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 305-556-3036
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | HHA299992778
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------