Provider Demographics
NPI:1316100449
Name:ON CALL HOME HEALTH LLC.
Entity type:Organization
Organization Name:ON CALL HOME HEALTH LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:E
Authorized Official - Last Name:BELLO
Authorized Official - Suffix:SR
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:305-597-2400
Mailing Address - Street 1:4805 NW 79TH AVE
Mailing Address - Street 2:STE . 12
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-5400
Mailing Address - Country:US
Mailing Address - Phone:305-597-2400
Mailing Address - Fax:305-597-2544
Practice Address - Street 1:4805 NW 79TH AVE
Practice Address - Street 2:STE . 12
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-5400
Practice Address - Country:US
Practice Address - Phone:305-597-2400
Practice Address - Fax:305-597-2544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-09
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
APPLYIN FOR251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAPPLYING FOROtherAPPLYING FOR STATE LICENSURE