| Organization Name: | SC HOME CARE INC |
| NPI Number: | 1124238217 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ILEANA HERNANDEZ (ADMINISTRATOR) |
| Mailing Address: | 626 E 40th St Hialeah |
| State: | FL US |
| Postal Code: | 330132337 |
| Phone Number: | 3056911070 |
| Fax Number: | 3052251289 |
| NPI Enumeration Date: | 05/23/2007 |
| NPI Last Update Date: | 06/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 06/04/2008 |
| NPI Reactivation Date: | 06/19/2015 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 310400000X |
| License Number: | AL 10620 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Nursing & Custodial Care Facilities |
| Taxonomy Classification: | Assisted Living Facility |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |