Healthcare Provider Details

I. General information

NPI: 1275205403
Provider Name (Legal Business Name): CONTINUUM CARE OF MIAMI DADE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2021
Last Update Date: 10/06/2022
Certification Date: 10/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 NW 72ND AVE STE 400
MIAMI FL
33126-1907
US

IV. Provider business mailing address

2302 QUENTIN RD
BROOKLYN NY
11229-2414
US

V. Phone/Fax

Practice location:
  • Phone: 510-499-9977
  • Fax: 510-380-6631
Mailing address:
  • Phone: 646-585-2175
  • Fax: 510-380-6631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SAMUEL STERN
Title or Position: CEO
Credential:
Phone: 510-499-9977