Provider Demographics
NPI:1124263652
Name:PROFESSIONAL CARE HOME HEALTH AGENCY INC
Entity type:Organization
Organization Name:PROFESSIONAL CARE HOME HEALTH AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:B
Authorized Official - Last Name:SOCARRAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-247-1270
Mailing Address - Street 1:1452 N KROME AVE
Mailing Address - Street 2:SUITE 102E
Mailing Address - City:FLORIDA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33034-2440
Mailing Address - Country:US
Mailing Address - Phone:305-247-1270
Mailing Address - Fax:305-247-1273
Practice Address - Street 1:1452 N KROME AVE
Practice Address - Street 2:SUITE 102E
Practice Address - City:FLORIDA CITY
Practice Address - State:FL
Practice Address - Zip Code:33034-2440
Practice Address - Country:US
Practice Address - Phone:305-247-1270
Practice Address - Fax:305-247-1273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-12
Last Update Date:2010-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health