Healthcare Provider Details

I. General information

NPI: 1083564934
Provider Name (Legal Business Name): PENATE HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2026
Last Update Date: 02/07/2026
Certification Date: 02/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1275 W 47TH PL STE 339
HIALEAH FL
33012-3450
US

IV. Provider business mailing address

1275 W 47TH PL STE 339
HIALEAH FL
33012-3450
US

V. Phone/Fax

Practice location:
  • Phone: 786-385-0283
  • Fax:
Mailing address:
  • Phone: 786-385-0283
  • Fax:

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: CARLOS A PENATE
Title or Position: OWNER
Credential:
Phone: 786-285-0283