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NPI Code Detail

MEDICARE: JIMENEZ HOME HEALTH CARE, CORP.

MEDICARE: JIMENEZ HOME HEALTH CARE, CORP.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health AgencyRN 9240133FL
2251E00000XHome Health Agency299992894FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336386077
Entity Type Code : Organization
Provider Name (Legal Business Name) : JIMENEZ HOME HEALTH CARE, CORP.
Provider Business Mailing Address
First Line : 14850 SW 26TH ST STE 115
Second Line :
City : MIAMI
State : FL
Zip : 33185-5930
Country : US
Telephone Number : 305-480-5811
Fax Number : 305-480-5812
Provider Business Practice Location Address
First Line : 14850 SW 26TH ST STE 115
Second Line :
City : MIAMI
State : FL
Zip : 33185-5930
Country : US
Telephone Number : 305-480-5811
Fax Number : 305-480-5812
Authorized Official
Title or Position : PRESIDENT
Name : MRS. INALVIS DANIEL RIVA
Credential :
Telephone Number : 305-480-5811
Provider Enumeration Date : 01/16/2009
Last Update Date : 05/11/2026

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