Healthcare Provider Details

I. General information

NPI: 1457870982
Provider Name (Legal Business Name): KHANEL HEALTHCARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2017
Last Update Date: 01/09/2023
Certification Date: 01/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 INVERRARY BLVD 101K
LAUDERHILL FL
33319
US

IV. Provider business mailing address

3800 INVERRARY BLVD
LAUDERHILL FL
33319-4382
US

V. Phone/Fax

Practice location:
  • Phone: 954-900-4256
  • Fax:
Mailing address:
  • Phone: 954-900-4256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: MR. JANEL PIERRE
Title or Position: ADMINISTRATOR
Credential:
Phone: 561-537-1504