Provider Demographics
NPI:1962557306
Name:HOMESTEAD HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:HOMESTEAD HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:OROZCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-245-2626
Mailing Address - Street 1:19320 SW 292ND ST
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33030-2237
Mailing Address - Country:US
Mailing Address - Phone:786-255-1569
Mailing Address - Fax:
Practice Address - Street 1:414 NW 10TH AVE
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030-5764
Practice Address - Country:US
Practice Address - Phone:305-245-2626
Practice Address - Fax:305-245-3636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health