Healthcare Provider Details

I. General information

NPI: 1174678833
Provider Name (Legal Business Name): HUMANLY HOME HEALTH CARE AGENCY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 04/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11890 SW 8TH ST SUITE 501
MIAMI FL
33184-1743
US

IV. Provider business mailing address

11890 SW 8TH ST SUITE 501
MIAMI FL
33184-1743
US

V. Phone/Fax

Practice location:
  • Phone: 305-221-4488
  • Fax: 305-221-7995
Mailing address:
  • Phone: 305-221-4488
  • Fax: 305-221-7995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number299992593
License Number StateFL

VIII. Authorized Official

Name: MANUEL J. PIEDRA
Title or Position: ADMINISTRATOR
Credential:
Phone: 305-221-4488