Provider Demographics
NPI:1346392404
Name:EMBASSY HOME CARE INC
Entity type:Organization
Organization Name:EMBASSY HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARPAUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-972-5600
Mailing Address - Street 1:6093 NW 9TH CT
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-3661
Mailing Address - Country:US
Mailing Address - Phone:954-972-5600
Mailing Address - Fax:954-972-0666
Practice Address - Street 1:6093 NW 9TH CT
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-3661
Practice Address - Country:US
Practice Address - Phone:954-972-5600
Practice Address - Fax:954-972-0666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL8668310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility