Healthcare Provider Details

I. General information

NPI: 1003623554
Provider Name (Legal Business Name): PEAK HEALTH HOME & WELLNESS SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2024
Last Update Date: 12/17/2024
Certification Date: 12/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14221 SW 120TH ST STE 220
MIAMI FL
33186-4225
US

IV. Provider business mailing address

22632 SW 131ST AVE
MIAMI FL
33170-2772
US

V. Phone/Fax

Practice location:
  • Phone: 305-741-9314
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: REMMY ESTEVEZ
Title or Position: OWNER
Credential:
Phone: 305-741-9314