Provider Demographics
NPI:1174802672
Name:ALL ABOUT YOU HOME CARE,INC
Entity type:Organization
Organization Name:ALL ABOUT YOU HOME CARE,INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:FAUSTO
Authorized Official - Middle Name:
Authorized Official - Last Name:SUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:813-764-9290
Mailing Address - Street 1:1905 W BAKER ST
Mailing Address - Street 2:
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33563-1601
Mailing Address - Country:US
Mailing Address - Phone:813-764-9290
Mailing Address - Fax:813-764-9352
Practice Address - Street 1:1905 W BAKER ST
Practice Address - Street 2:
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33563-1601
Practice Address - Country:US
Practice Address - Phone:813-764-9290
Practice Address - Fax:813-764-9352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-15
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299993770251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003167500Medicaid