Provider Demographics
NPI:1487898136
Name:ALL BROWARD HOME HEALTH SERVICES INC
Entity type:Organization
Organization Name:ALL BROWARD HOME HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:KEMPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-933-3162
Mailing Address - Street 1:7900 SW 24TH ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33324-5821
Mailing Address - Country:US
Mailing Address - Phone:954-933-3162
Mailing Address - Fax:954-933-3163
Practice Address - Street 1:7900 SW 24TH ST
Practice Address - Street 2:SUITE 202
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33324-5821
Practice Address - Country:US
Practice Address - Phone:954-933-3162
Practice Address - Fax:954-933-3163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-25
Last Update Date:2013-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL109642Medicare Oscar/Certification