Provider Demographics
NPI:1336746460
Name:G.A. HOME HEALTH CARE, CORP
Entity type:Organization
Organization Name:G.A. HOME HEALTH CARE, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CFO/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ILEANA
Authorized Official - Middle Name:C
Authorized Official - Last Name:ROJAS
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:786-536-7501
Mailing Address - Street 1:5455 SW 8TH ST
Mailing Address - Street 2:SUITE 245
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33134
Mailing Address - Country:US
Mailing Address - Phone:786-536-7501
Mailing Address - Fax:844-599-2637
Practice Address - Street 1:5455 SW 8TH ST
Practice Address - Street 2:SUITE 245
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33134
Practice Address - Country:US
Practice Address - Phone:786-536-7501
Practice Address - Fax:844-599-2637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-01
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL299995225OtherAHCA HOME HEALTH AGENCY LICENSE
FL111666100Medicaid