MEDICARE: ROYAL MILE HOME HEALTH, LLC.

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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1508721242
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROYAL MILE HOME HEALTH, LLC.

Provider Business Mailing Address
First Line	:	175 FONTAINEBLEAU BLVD STE 2K7
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33172-7012
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	175 FONTAINEBLEAU BLVD STE 2K7
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33172-7012
Country	:	US
Telephone Number	:	305-794-4218
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/BOARD OFFICE
Name	:	MR. IVAN GONZALEZ
Credential	:
Telephone Number	:	305-794-4218

Provider Enumeration Date	:	12/16/2025
Last Update Date	:	12/16/2025

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