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General NPI Number Information
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NPI Number | 1962500090
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Entity Type | Organization
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Legal Business Name | HOMED CARE INC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 02/12/2014
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Provider Practice Location Address
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Address Line | 419 W 49TH ST STE 200
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City | HIALEAH
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State | FL
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Zip | 33012-3656
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Country | US
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Telephone | 305-769-3332
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Fax | 305-769-3334
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Provider Business Mailing Address
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Address Line | 419 W 49TH ST STE 200
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City | HIALEAH
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State | FL
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Zip | 33012-3656
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Country | US
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Telephone | 305-769-3332
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Fax | 305-769-3334
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Authorized Official
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Title or Position | PRESIDENT
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Name | CARMEN ROSA HERNANDEZ
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Credential |
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Telephone | 305-769-3332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 20511096
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License Number State | FL
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