Healthcare Provider Details

I. General information

NPI: 1770536369
Provider Name (Legal Business Name): PABEL HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 08/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3414 W 84TH ST SUITE D-104
HIALEAH FL
33018-4932
US

IV. Provider business mailing address

3414 W 84TH ST SUITE D-104
HIALEAH FL
33018-4932
US

V. Phone/Fax

Practice location:
  • Phone: 305-825-4343
  • Fax: 305-825-4348
Mailing address:
  • Phone: 305-825-4343
  • Fax: 305-825-4348

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHHA299992280
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberHHA299992280
License Number StateFL

VIII. Authorized Official

Name: BELKIS CHILE
Title or Position: VICE-PRESIDENT
Credential:
Phone: 305-825-4343