Healthcare Provider Details

I. General information

NPI: 1699758391
Provider Name (Legal Business Name): RENAISSANCE HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2005
Last Update Date: 02/06/2026
Certification Date: 02/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14680 SW 8TH ST STE 205
MIAMI FL
33184-3138
US

IV. Provider business mailing address

14680 SW 8TH ST STE 205
MIAMI FL
33184-3138
US

V. Phone/Fax

Practice location:
  • Phone: 305-233-4477
  • Fax: 305-233-7117
Mailing address:
  • Phone: 305-233-4477
  • Fax: 305-233-7117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHHA299991960
License Number StateFL

VIII. Authorized Official

Name: MR. CELSO EFREN MOSQUERA
Title or Position: ADMINISTRATOR
Credential:
Phone: 305-233-4477