Healthcare Provider Details

I. General information

NPI: 1568598399
Provider Name (Legal Business Name): THE ROADS HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 09/20/2024
Certification Date: 09/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5757 BLUE LAGOON DR STE 210
MIAMI FL
33126-2076
US

IV. Provider business mailing address

5757 BLUE LAGOON DR STE 210
MIAMI FL
33126-2076
US

V. Phone/Fax

Practice location:
  • Phone: 305-860-7797
  • Fax: 305-860-7757
Mailing address:
  • Phone: 409-377-0517
  • Fax: 305-860-7757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberPENDING
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ANDY HERNANDEZ
Title or Position: CEO
Credential:
Phone: 786-317-3594