Provider Demographics
NPI:1447906177
Name:IQ HOMECARE SERVICES, LLC
Entity type:Organization
Organization Name:IQ HOMECARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GIORDANI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:305-748-7684
Mailing Address - Street 1:14720 NW 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33168-3104
Mailing Address - Country:US
Mailing Address - Phone:305-748-7684
Mailing Address - Fax:
Practice Address - Street 1:14720 NW 7TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33168-3104
Practice Address - Country:US
Practice Address - Phone:305-748-7684
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-22
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes293D00000XLaboratoriesPhysiological Laboratory
Yes291U00000XLaboratoriesClinical Medical LaboratoryGroup - Multi-Specialty
No163WC0400XNursing Service ProvidersRegistered NurseCase ManagementGroup - Multi-Specialty
No163WC1500XNursing Service ProvidersRegistered NurseCommunity HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL113768500Medicaid
FL10D2255540OtherCMS- CERTIFICATE OF WAIVER