Healthcare Provider Details

I. General information

NPI: 1215168752
Provider Name (Legal Business Name): HIGH-CLASS HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2009
Last Update Date: 07/31/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18800 NW 2ND AVE SUITE# 202
MIAMI GARDENS FL
33169
US

IV. Provider business mailing address

18800 NW 2ND AVE SUITE# 202
MIAMI GARDENS FL
33169
US

V. Phone/Fax

Practice location:
  • Phone: 305-770-4511
  • Fax: 305-770-4585
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberAPLIED FOR
License Number StateFL

VIII. Authorized Official

Name: MR. NICLASS PIERRE
Title or Position: ADMINISTRATOR
Credential:
Phone: 305-770-4511