Organization
SOUTHERN HEALTH CARE CORPORATION
Active
Other names
SOUTHERN HOMEMAKER AND COMPANION SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA S AJAYI (PRESIDENT)
(305) 249-0660
Entity
Organization
Contact information
Practice address
633 NE 167TH ST, SUITE 602, NORTH MIAMI BEACH, FL 33162-2442
(305) 249-0660
(305) 249-0650
Mailing address
633 NE 167TH ST, SUITE 602, NORTH MIAMI BEACH, FL 33162-2442
(305) 249-0660
(305) 249-0650
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
228561
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
682028000
MEDICAID PROJECT AIDS CARE WAIVER
FL
01
—
682363703
MEDICAID FAMILIAL DYSAUTONOMIA WAIVER
FL
01
—
682363796
MEDICAID DEVELOPMENTAL DISABILITY WAIVER
FL
01
—
682363798
MEDICAID FSL WAIVER
FL
01
—
683012900
MEDICAID AGED AND DISABLED ADULT WAIVER
FL
Enumeration date
07/28/2009
Last updated
07/28/2009
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