Provider Demographics
NPI:1538467956
Name:A FAMILY MEMBER HOMECARE HOLDINGS
Entity type:Organization
Organization Name:A FAMILY MEMBER HOMECARE HOLDINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:VELASQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-986-5090
Mailing Address - Street 1:2525 N STATE ROAD 7
Mailing Address - Street 2:SUITE 110
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-3201
Mailing Address - Country:US
Mailing Address - Phone:954-986-5090
Mailing Address - Fax:954-986-5091
Practice Address - Street 1:2525 N STATE ROAD 7
Practice Address - Street 2:SUITE 110
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-3201
Practice Address - Country:US
Practice Address - Phone:954-986-5090
Practice Address - Fax:954-986-5091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-09
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health