Provider Demographics
NPI:1063772333
Name:UNITED HOME HEALTH CARE
Entity type:Organization
Organization Name:UNITED HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-716-0710
Mailing Address - Street 1:8400 NW 33RD ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1937
Mailing Address - Country:US
Mailing Address - Phone:305-477-0440
Mailing Address - Fax:305-468-0845
Practice Address - Street 1:8400 NW 33RD ST
Practice Address - Street 2:SUITE 400
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33122-1937
Practice Address - Country:US
Practice Address - Phone:305-477-0440
Practice Address - Fax:305-468-0845
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNITED HOMECARE SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-05-21
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA21213096251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health