Provider Demographics
NPI:1427939917
Name:28HEALTH HOME CARE AGENCY, LLC
Entity type:Organization
Organization Name:28HEALTH HOME CARE AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAVLANOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-238-4342
Mailing Address - Street 1:409 W HALLANDALE BEACH BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-5301
Mailing Address - Country:US
Mailing Address - Phone:954-282-9609
Mailing Address - Fax:954-282-9609
Practice Address - Street 1:409 W HALLANDALE BEACH BLVD STE 204
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-5301
Practice Address - Country:US
Practice Address - Phone:954-282-9609
Practice Address - Fax:954-282-9609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health