Healthcare Provider Details

I. General information

NPI: 1437821915
Provider Name (Legal Business Name): AGATHOS HOME HEALTH ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2021
Last Update Date: 10/17/2021
Certification Date: 10/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25825 SW 131ST CT
HOMESTEAD FL
33032-6936
US

IV. Provider business mailing address

25825 SW 131ST CT
HOMESTEAD FL
33032-6936
US

V. Phone/Fax

Practice location:
  • Phone: 305-282-3654
  • Fax:
Mailing address:
  • Phone: 305-282-3654
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MARLEN SOLER
Title or Position: ADMINISTRATOR/OWNER
Credential:
Phone: 305-282-3654