Provider Demographics
NPI:1932090370
Name:SUBEN HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:SUBEN HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLIVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BECKFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-255-1406
Mailing Address - Street 1:4565 WILLOW RUN WAY
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33467-1178
Mailing Address - Country:US
Mailing Address - Phone:561-255-4106
Mailing Address - Fax:
Practice Address - Street 1:4565 WILLOW RUN WAY
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33467-1178
Practice Address - Country:US
Practice Address - Phone:561-545-1523
Practice Address - Fax:561-545-1523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health