Provider Demographics
NPI:1194551440
Name:GMA HOME CARE LUXURY LLC
Entity type:Organization
Organization Name:GMA HOME CARE LUXURY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GRETA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-283-9517
Mailing Address - Street 1:8050 NW 103RD ST STE 107
Mailing Address - Street 2:
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33016-2252
Mailing Address - Country:US
Mailing Address - Phone:305-525-1578
Mailing Address - Fax:305-520-0318
Practice Address - Street 1:8050 NW 103RD ST STE 107
Practice Address - Street 2:
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33016-2252
Practice Address - Country:US
Practice Address - Phone:305-525-1578
Practice Address - Fax:305-520-0318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-12
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care