Healthcare Provider Details

I. General information

NPI: 1861330219
Provider Name (Legal Business Name): RANDYS HOME HEALTH SERVICES CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10550 NW 77TH CT STE 313-314
HIALEAH GARDENS FL
33016-7084
US

IV. Provider business mailing address

10550 NW 77TH CT STE 313-314
HIALEAH GARDENS FL
33016-7084
US

V. Phone/Fax

Practice location:
  • Phone: 786-747-4170
  • Fax: 786-513-3356
Mailing address:
  • Phone: 786-747-4170
  • Fax: 786-513-3356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CARIDAD DOMINGUEZ
Title or Position: OWNER, CFO
Credential:
Phone: 786-747-4170