Provider Demographics
NPI:1174071195
Name:MATCHLESS HOME CARE INC
Entity type:Organization
Organization Name:MATCHLESS HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANIEBIET
Authorized Official - Middle Name:
Authorized Official - Last Name:EYO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-609-3907
Mailing Address - Street 1:PO BOX 972915
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33197-2915
Mailing Address - Country:US
Mailing Address - Phone:786-609-3907
Mailing Address - Fax:
Practice Address - Street 1:19841 SW 114TH AVE
Practice Address - Street 2:#308
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33157-1056
Practice Address - Country:US
Practice Address - Phone:786-609-3907
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-19
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care