Healthcare Provider Details

I. General information

NPI: 1336386077
Provider Name (Legal Business Name): JIMENEZ HOME HEALTH CARE, CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2009
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14850 SW 26TH ST STE 115
MIAMI FL
33185-5930
US

IV. Provider business mailing address

14850 SW 26TH ST STE 115
MIAMI FL
33185-5930
US

V. Phone/Fax

Practice location:
  • Phone: 305-480-5811
  • Fax: 305-480-5812
Mailing address:
  • Phone: 305-480-5811
  • Fax: 305-480-5812

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberRN 9240133
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number299992894
License Number StateFL

VIII. Authorized Official

Name: MRS. INALVIS DANIEL RIVA
Title or Position: PRESIDENT
Credential:
Phone: 305-480-5811