Healthcare Provider Details

I. General information

NPI: 1316545544
Provider Name (Legal Business Name): HERO SENIOR CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2020
Last Update Date: 10/14/2020
Certification Date: 10/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5231 SW 152ND CT
MIAMI FL
33185-4110
US

IV. Provider business mailing address

5231 SW 152ND CT
MIAMI FL
33185-4110
US

V. Phone/Fax

Practice location:
  • Phone: 786-493-1218
  • Fax:
Mailing address:
  • Phone: 786-493-1218
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: ANDY MURRAY
Title or Position: CEO
Credential: HHA
Phone: 786-493-1218