Healthcare Provider Details

I. General information

NPI: 1508721242
Provider Name (Legal Business Name): ROYAL MILE HOME HEALTH, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 FONTAINEBLEAU BLVD STE 2K7
MIAMI FL
33172-7012
US

IV. Provider business mailing address

175 FONTAINEBLEAU BLVD STE 2K7
MIAMI FL
33172-7012
US

V. Phone/Fax

Practice location:
  • Phone: 305-794-4218
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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. IVAN GONZALEZ
Title or Position: PRESIDENT/BOARD OFFICE
Credential:
Phone: 305-794-4218