1073702882 NPI number — DEVELPOMENT HOME HEALTH CARE, CORP.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073702882 NPI number — DEVELPOMENT HOME HEALTH CARE, CORP.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DEVELPOMENT HOME HEALTH CARE, CORP.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1073702882
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/26/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3850 SW 87TH AVE
Provider Second Line Business Mailing Address:
SUITE 302
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33165-5474
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-228-4901
Provider Business Mailing Address Fax Number:
305-228-4908

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3850 SW 87TH AVE
Provider Second Line Business Practice Location Address:
SUITE 302
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33165-5474
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-228-4901
Provider Business Practice Location Address Fax Number:
305-228-4908
Provider Enumeration Date:
10/17/2007

Additional Information

Authorized Official

Authorized Official Last Name:
RODRIGUEZ
Authorized Official First Name:
MARIO
Authorized Official Middle Name:
LUIS
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
305-228-4901

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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