Provider Demographics
NPI:1699255927
Name:SAVIOR HOME CARE INC.
Entity type:Organization
Organization Name:SAVIOR HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SUITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-508-5782
Mailing Address - Street 1:1370 WASHINGTON AVE STE 209
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-4215
Mailing Address - Country:US
Mailing Address - Phone:619-508-5782
Mailing Address - Fax:
Practice Address - Street 1:1370 WASHINGTON AVE STE 209
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-4215
Practice Address - Country:US
Practice Address - Phone:619-508-5782
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-16
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care