Provider Demographics
NPI:1588339444
Name:ILS HHA OF BROWARD LLC
Entity type:Organization
Organization Name:ILS HHA OF BROWARD LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:NESTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:PLANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-372-8625
Mailing Address - Street 1:950 S PINE ISLAND RD STE 150
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-3918
Mailing Address - Country:US
Mailing Address - Phone:844-372-8625
Mailing Address - Fax:
Practice Address - Street 1:950 S PINE ISLAND RD STE 150
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-3918
Practice Address - Country:US
Practice Address - Phone:844-372-8625
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-12
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty