Provider Demographics
NPI:1427298827
Name:FLORIDA HOME HEALTH GROUP, INC.
Entity type:Organization
Organization Name:FLORIDA HOME HEALTH GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERNESTO
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-984-0020
Mailing Address - Street 1:9900 W SAMPLE RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-4048
Mailing Address - Country:US
Mailing Address - Phone:954-346-7610
Mailing Address - Fax:954-602-9870
Practice Address - Street 1:8400 N UNIVERSITY DR
Practice Address - Street 2:SUITE 305
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-1752
Practice Address - Country:US
Practice Address - Phone:954-990-1192
Practice Address - Fax:888-217-4141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-24
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health