Healthcare Provider Details

I. General information

NPI: 1083071500
Provider Name (Legal Business Name): A&M HOMEMAKER SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2016
Last Update Date: 02/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14129 SW 168TH LN
MIAMI FL
33177-8004
US

IV. Provider business mailing address

14129 SW 168TH LN
MIAMI FL
33177-8004
US

V. Phone/Fax

Practice location:
  • Phone: 786-303-0645
  • Fax:
Mailing address:
  • Phone: 786-303-0645
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateFL

VIII. Authorized Official

Name: MISS MERCEDES BUERGO I
Title or Position: OWNER
Credential: RBT/HHA
Phone: 786-303-0645