Provider Demographics
NPI:1023842580
Name:HOMELAND HEALTH SOLUTIONS MC INC
Entity type:Organization
Organization Name:HOMELAND HEALTH SOLUTIONS MC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:JIMENEZ
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:786-272-2377
Mailing Address - Street 1:15600 SW 288TH ST STE 108
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-1693
Mailing Address - Country:US
Mailing Address - Phone:786-272-2377
Mailing Address - Fax:
Practice Address - Street 1:15600 SW 288TH ST STE 108
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-1693
Practice Address - Country:US
Practice Address - Phone:786-272-2377
Practice Address - Fax:786-876-4877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-28
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care