Healthcare Provider Details

I. General information

NPI: 1447344569
Provider Name (Legal Business Name): QUALI-CARE HOME HEALTH AGENCY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7750 SW 117TH AVE STE 307
MIAMI FL
33183-3844
US

IV. Provider business mailing address

7750 SW 117TH AVE STE 307
MIAMI FL
33183-3844
US

V. Phone/Fax

Practice location:
  • Phone: 305-232-3979
  • Fax: 786-558-1881
Mailing address:
  • Phone: 305-232-3979
  • Fax: 786-558-1881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number299990971
License Number StateFL

VIII. Authorized Official

Name: YISSELL SANG
Title or Position: ADMINISTRATOR
Credential:
Phone: 305-232-3979