Healthcare Provider Details

I. General information

NPI: 1508600495
Provider Name (Legal Business Name): COHEN HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2024
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10711 SW 216TH ST UNIT 111
MIAMI FL
33170-3182
US

IV. Provider business mailing address

10711 SW 216TH ST UNIT 111
MIAMI FL
33170-3182
US

V. Phone/Fax

Practice location:
  • Phone: 305-964-7319
  • Fax: 305-964-7345
Mailing address:
  • Phone: 305-964-7319
  • Fax: 305-964-7345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: YENIA REGALADO GONZALEZ
Title or Position: OWNER
Credential:
Phone: 305-964-7319