Provider Demographics
NPI:1871951640
Name:HOMECARE DIMENSIONS OF FLORIDA INC.
Entity type:Organization
Organization Name:HOMECARE DIMENSIONS OF FLORIDA INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:OLIVAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-696-2626
Mailing Address - Street 1:12500 NETWORK BLVD
Mailing Address - Street 2:STE 210
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-3307
Mailing Address - Country:US
Mailing Address - Phone:210-696-2626
Mailing Address - Fax:210-696-9987
Practice Address - Street 1:8380 BAYMEADOWS RD STE 12
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-7435
Practice Address - Country:US
Practice Address - Phone:210-696-2626
Practice Address - Fax:210-696-9987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-08
Last Update Date:2016-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies