Healthcare Provider Details

I. General information

NPI: 1336801745
Provider Name (Legal Business Name): AMERICAN HOME HEALTH PROVIDERS, CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2021
Last Update Date: 02/28/2022
Certification Date: 02/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3408 W 84TH ST STE 203
HIALEAH FL
33018-4942
US

IV. Provider business mailing address

3408 W 84TH ST STE 203
HIALEAH FL
33018-4942
US

V. Phone/Fax

Practice location:
  • Phone: 305-820-3001
  • Fax: 305-820-3005
Mailing address:
  • Phone: 305-820-3001
  • Fax: 305-820-3005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. RUBEN ALONSO SANTANA
Title or Position: PRESIDENT
Credential:
Phone: 305-820-3001