=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043471881
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LOCAL HOME CARE, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/24/2008
-----------------------------------------------------
Last Update Date | 06/24/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8181 NW 36TH ST SUITE 14 A AND 14 B
-----------------------------------------------------
City | DORAL
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33166-6671
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-339-3818
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8181 NW 36TH ST SUITE 14 A AND 14 B
-----------------------------------------------------
City | DORAL
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33166-6671
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-339-3818
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | MARTA PATRICIA PASTRANA
-----------------------------------------------------
Credential | RN
-----------------------------------------------------
Telephone | 786-339-3818
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------