=====================================================
General NPI Number Information
=====================================================
NPI Number | 1992802144
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FAMILY HEALTH CARE CORP
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/20/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1800 W 49TH ST SUITE 203
-----------------------------------------------------
City | HIALEAH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33012-2900
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-821-8884
-----------------------------------------------------
Fax | 305-821-8168
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1800 W 49TH ST SUITE 203
-----------------------------------------------------
City | HIALEAH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33012-2900
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-821-8884
-----------------------------------------------------
Fax | 305-821-8168
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MARILYN ALMANZA
-----------------------------------------------------
Credential | PRESIDENT
-----------------------------------------------------
Telephone | 305-821-8884
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------