Healthcare Provider Details
I. General information
NPI: 1821801069
Provider Name (Legal Business Name): GREATER MIAMI HOME HEALTH & COMPANION CARE SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/30/2025
Last Update Date: 01/30/2025
Certification Date: 01/30/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2300 NW 182ND TER
MIAMI GARDENS FL
33056-3734
US
IV. Provider business mailing address
2300 NW 182ND TER
MIAMI GARDENS FL
33056-3734
US
V. Phone/Fax
- Phone: 954-415-8358
- Fax:
- Phone: 954-415-8358
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 376J00000X |
| Taxonomy | Homemaker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
RASHEELAH
BROWN
Title or Position: OWNER
Credential:
Phone: 954-415-8358