Healthcare Provider Details

I. General information

NPI: 1316037633
Provider Name (Legal Business Name): COMPREHENSIVE HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2006
Last Update Date: 09/28/2020
Certification Date: 09/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6900 SW 80TH ST
MIAMI FL
33143-4931
US

IV. Provider business mailing address

6900 SW 80TH ST
MIAMI FL
33143-4931
US

V. Phone/Fax

Practice location:
  • Phone: 305-591-1606
  • Fax: 305-591-1618
Mailing address:
  • Phone: 305-591-1606
  • Fax: 305-591-1618

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number5013096
License Number StateFL

VIII. Authorized Official

Name: MR. JULIO HUMBERTO TAMAYO
Title or Position: ADMINISTRATOR/COMPLIANCE OFFICER
Credential: LHCRM.
Phone: 305-591-1606