Provider Demographics
NPI: | 1194913129 |
---|---|
Name: | LA CARIDAD HOME CARE SERVICES, INC |
Entity type: | Organization |
Organization Name: | LA CARIDAD HOME CARE SERVICES, INC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | AYME |
Authorized Official - Middle Name: | DE LA CARIDAD |
Authorized Official - Last Name: | PLAZA |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | CNA |
Authorized Official - Phone: | 305-323-2211 |
Mailing Address - Street 1: | 242 SW 78TH PL |
Mailing Address - Street 2: | |
Mailing Address - City: | MIAMI |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 33144-2339 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 305-323-2211 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 242 SW 78TH PL |
Practice Address - Street 2: | |
Practice Address - City: | MIAMI |
Practice Address - State: | FL |
Practice Address - Zip Code: | 33144-2339 |
Practice Address - Country: | US |
Practice Address - Phone: | 305-323-2211 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-10-03 |
Last Update Date: | 2007-10-03 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
FL | 30486 | 374U00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 374U00000X | Nursing Service Related Providers | Home Health Aide | Group - Single Specialty |