Healthcare Provider Details

I. General information

NPI: 1255148896
Provider Name (Legal Business Name): NATIONS HOME HEALTH OF BROWARD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2024
Last Update Date: 12/17/2024
Certification Date: 12/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 S PINE ISLAND RD STE 150 OFFICE 1046
MIAMI FL
33324-3918
US

IV. Provider business mailing address

14261 SW 120TH ST # 108-690
MIAMI FL
33186-7270
US

V. Phone/Fax

Practice location:
  • Phone: 954-302-1850
  • Fax: 954-369-5025
Mailing address:
  • Phone: 954-302-1850
  • Fax: 954-369-5025

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: MR. JORGE PEREZ
Title or Position: PRESIDENT
Credential:
Phone: 305-525-6824