All-State Home Care Inc.

Primary specialty

Ph.D. Medical GeneticsTaxonomy code 170100000X

Legal business name

ALL-STATE HOME CARE INC.

Practice address

6363 Taft St
Suite 104
Hollywood, FL 33024-5962

Phone

(954) 322-8809

NPI assigned

Dec 22, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Roger Medenos

Title

President

Phone

(305) 558-6947

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023173879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6363 TAFT ST",
            "address_2": "SUITE 104",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330245962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 TAFT ST",
            "address_2": "SUITE 104",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330245962",
            "telephone_number": "954-322-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL-STATE HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEDENOS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-558-6947"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ph.D. Medical Genetics in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Ph.D. Medical Genetics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.