Provider Demographics
NPI:1124265160
Name:VALLADARES HOME CARE SOLUTIONS CORP.
Entity type:Organization
Organization Name:VALLADARES HOME CARE SOLUTIONS CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT /OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HUMBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:VALLADARES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-234-5162
Mailing Address - Street 1:13382 SW 128TH ST
Mailing Address - Street 2:SUITE 21
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-5807
Mailing Address - Country:US
Mailing Address - Phone:305-234-5162
Mailing Address - Fax:
Practice Address - Street 1:13382 SW 128TH ST
Practice Address - Street 2:SUITE 21
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5807
Practice Address - Country:US
Practice Address - Phone:305-234-5162
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-13
Last Update Date:2009-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992691251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health