Provider Demographics
NPI:1619991395
Name:UNLIMITED HOME CARE
Entity type:Organization
Organization Name:UNLIMITED HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LORELL
Authorized Official - Middle Name:
Authorized Official - Last Name:BERGOLLA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:786-258-6214
Mailing Address - Street 1:342 E 9TH ST
Mailing Address - Street 2:# 201
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-4216
Mailing Address - Country:US
Mailing Address - Phone:305-885-7421
Mailing Address - Fax:305-885-7422
Practice Address - Street 1:342 E 9TH ST
Practice Address - Street 2:# 201
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-4216
Practice Address - Country:US
Practice Address - Phone:305-885-7421
Practice Address - Fax:305-885-7422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108189Medicare ID - Type Unspecified