Provider Demographics
NPI:1871797522
Name:CLT HOME CARE, INC.
Entity type:Organization
Organization Name:CLT HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OFELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:REY-TSIMOGIANNIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-547-2220
Mailing Address - Street 1:1281 NW 6TH ST
Mailing Address - Street 2:SUITE D1
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-4719
Mailing Address - Country:US
Mailing Address - Phone:305-547-2220
Mailing Address - Fax:305-547-2221
Practice Address - Street 1:1281 NW 6TH ST
Practice Address - Street 2:SUITE D1
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-4719
Practice Address - Country:US
Practice Address - Phone:305-547-2220
Practice Address - Fax:305-547-2221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health