Healthcare Provider Details

I. General information

NPI: 1164857280
Provider Name (Legal Business Name): HHA HOME SERVICES CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2013
Last Update Date: 08/24/2022
Certification Date: 08/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7801 CORAL WAY STE 117
MIAMI FL
33155-6538
US

IV. Provider business mailing address

7801 CORAL WAY STE 117
MIAMI FL
33155-6538
US

V. Phone/Fax

Practice location:
  • Phone: 305-747-9295
  • Fax: 786-452-1326
Mailing address:
  • Phone: 305-747-9295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CARIDAD BUSTO
Title or Position: PRESIDENT
Credential:
Phone: 305-747-9295