Healthcare Provider Details

I. General information

NPI: 1174458855
Provider Name (Legal Business Name): FHMGED HOME HEALTH & ELDER CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12985 SW 130TH CT STE 206-5
MIAMI FL
33186-5312
US

IV. Provider business mailing address

696 NW 127TH CT APT 2
MIAMI FL
33182-1897
US

V. Phone/Fax

Practice location:
  • Phone: 786-853-7126
  • Fax: 305-419-0518
Mailing address:
  • Phone: 786-853-7126
  • Fax: 305-419-0518

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DAILYN SUBIAUT
Title or Position: OWNER
Credential:
Phone: 305-824-7089