Provider Demographics
NPI:1306161195
Name:CARMEN/CLEAR HOME HEALTHCARE
Entity type:Organization
Organization Name:CARMEN/CLEAR HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EFCO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EARL
Authorized Official - Middle Name:JUNIOR
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:786-242-3230
Mailing Address - Street 1:8111 SW 205TH ST
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33189-2618
Mailing Address - Country:US
Mailing Address - Phone:786-242-3230
Mailing Address - Fax:
Practice Address - Street 1:8111 SW 205TH ST
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33189-2618
Practice Address - Country:US
Practice Address - Phone:786-242-3230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-05
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health