Healthcare Provider Details

I. General information

NPI: 1780579524
Provider Name (Legal Business Name): PUT YOU FIRST HOME HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2025
Last Update Date: 06/11/2025
Certification Date: 05/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2719 HOLLYWOOD BLVD # L-399
HOLLYWOOD FL
33020-4821
US

IV. Provider business mailing address

2719 HOLLYWOOD BLVD # L-399
HOLLYWOOD FL
33020-4821
US

V. Phone/Fax

Practice location:
  • Phone: 954-600-5353
  • Fax:
Mailing address:
  • Phone: 954-600-5353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MORRIS GOLDWIRE
Title or Position: MGR
Credential:
Phone: 954-543-7226