1427298827 NPI number — FLORIDA HOME HEALTH GROUP, INC.

Table of content: (NPI 1427298827)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427298827 NPI number — FLORIDA HOME HEALTH GROUP, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FLORIDA HOME HEALTH GROUP, INC.
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:
1427298827
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/26/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9900 W SAMPLE RD
Provider Second Line Business Mailing Address:
SUITE 210
Provider Business Mailing Address City Name:
CORAL SPRINGS
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33065-4048
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-346-7610
Provider Business Mailing Address Fax Number:
954-602-9870

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8400 N UNIVERSITY DR
Provider Second Line Business Practice Location Address:
SUITE 305
Provider Business Practice Location Address City Name:
TAMARAC
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33321-1752
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-990-1192
Provider Business Practice Location Address Fax Number:
888-217-4141
Provider Enumeration Date:
02/24/2009

Additional Information

Authorized Official

Authorized Official Last Name:
RIVERO
Authorized Official First Name:
ERNESTO
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
305-984-0020

Provider Taxonomy Codes

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

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





Copyright © 2007-2025 www.npivalidator.com