Provider Demographics
NPI:1306283551
Name:PALMETTO HOME CARE CORP
Entity type:Organization
Organization Name:PALMETTO HOME CARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IDILIDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PADILLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-376-7051
Mailing Address - Street 1:2100 W 76TH ST
Mailing Address - Street 2:SUITE 316
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5539
Mailing Address - Country:US
Mailing Address - Phone:786-376-7051
Mailing Address - Fax:305-825-4639
Practice Address - Street 1:2100 W 76TH ST
Practice Address - Street 2:SUITE 316
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-5539
Practice Address - Country:US
Practice Address - Phone:786-376-7051
Practice Address - Fax:305-825-4639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-29
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTO BE ANNOUNCED251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health