Healthcare Provider Details

I. General information

NPI: 1255425195
Provider Name (Legal Business Name): CARE ONE HOME HEALTH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 01/11/2024
Certification Date: 01/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1535 SW 87TH AVE
MIAMI FL
33174-3312
US

IV. Provider business mailing address

1535 SW 87TH AVE
MIAMI FL
33174-3312
US

V. Phone/Fax

Practice location:
  • Phone: 305-228-0301
  • Fax: 305-228-0360
Mailing address:
  • Phone: 305-228-0301
  • Fax: 305-228-0360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number299992102
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: MR. CRISTIAN FERNANDEZ-BANGO
Title or Position: MANAGER/CFO
Credential:
Phone: 305-228-0301