Healthcare Provider Details

I. General information

NPI: 1891937678
Provider Name (Legal Business Name): YIRED HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2009
Last Update Date: 03/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14221 SW 120TH ST SUITE 108
MIAMI FL
33186-7236
US

IV. Provider business mailing address

14221 SW 120TH ST SUITE 108
MIAMI FL
33186-7236
US

V. Phone/Fax

Practice location:
  • Phone: 305-408-6905
  • Fax: 305-408-6906
Mailing address:
  • Phone: 305-408-6905
  • Fax: 305-408-6906

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: ROXANA MUNOZ
Title or Position: PRESIDENT
Credential:
Phone: 305-408-6905