Healthcare Provider Details

I. General information

NPI: 1972397057
Provider Name (Legal Business Name): THERAHEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2025
Last Update Date: 04/05/2025
Certification Date: 04/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6021 DUVAL ST
HOLLYWOOD FL
33024-7961
US

IV. Provider business mailing address

6920 SW 56TH CT
DAVIE FL
33314-7004
US

V. Phone/Fax

Practice location:
  • Phone: 954-613-1163
  • Fax: 954-613-1243
Mailing address:
  • Phone: 954-646-1212
  • 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: MICHAEL ROZENBERG
Title or Position: DIRECTOR
Credential:
Phone: 954-646-1212