Healthcare Provider Details

I. General information

NPI: 1235797457
Provider Name (Legal Business Name): OHANA HOME HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2019
Last Update Date: 06/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1990 NE 163RD ST STE 228
NORTH MIAMI BEACH FL
33162-4854
US

IV. Provider business mailing address

1990 NE 163RD ST STE 228
NORTH MIAMI BEACH FL
33162-4854
US

V. Phone/Fax

Practice location:
  • Phone: 917-449-8105
  • Fax:
Mailing address:
  • Phone: 917-449-8105
  • Fax:

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: MR. GEORGE REKBLATT
Title or Position: ADMINISTRATOR
Credential:
Phone: 917-449-8105