Healthcare Provider Details

I. General information

NPI: 1194655761
Provider Name (Legal Business Name): BRIZUELA COMMUNITY HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8764 SW 8TH ST # A
MIAMI FL
33174-3201
US

IV. Provider business mailing address

8764 SW 8TH ST # A
MIAMI FL
33174-3201
US

V. Phone/Fax

Practice location:
  • Phone: 786-208-6357
  • Fax:
Mailing address:
  • Phone: 786-208-6357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: JAQUELINE BRIZUELA CORO
Title or Position: OWNER
Credential:
Phone: 786-208-6357