Provider Demographics
NPI:1427503390
Name:A-1 HEALTHCARE INC
Entity type:Organization
Organization Name:A-1 HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ENABOSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-864-5504
Mailing Address - Street 1:1515 NORTH FEDERAL HIGHWAY
Mailing Address - Street 2:300
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432
Mailing Address - Country:US
Mailing Address - Phone:561-864-5504
Mailing Address - Fax:561-864-5505
Practice Address - Street 1:1515 N FEDERAL HWY
Practice Address - Street 2:300
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-1911
Practice Address - Country:US
Practice Address - Phone:561-864-5504
Practice Address - Fax:561-864-5505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-22
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health