Provider Demographics
NPI:1386752822
Name:MACADAMS HOME HEALTH AGENCY INC
Entity type:Organization
Organization Name:MACADAMS HOME HEALTH AGENCY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:
Authorized Official - Last Name:WHARTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-368-8744
Mailing Address - Street 1:7900 GLADES RD STE 250
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33434-4100
Mailing Address - Country:US
Mailing Address - Phone:561-368-8744
Mailing Address - Fax:561-368-8743
Practice Address - Street 1:350 CAMINO GARDENS BLVD
Practice Address - Street 2:STE 104
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-5846
Practice Address - Country:US
Practice Address - Phone:561-368-8744
Practice Address - Fax:561-368-8743
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992098251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL651256900Medicaid
=========Medicare UPIN
FL651256900Medicaid