Healthcare Provider Details

I. General information

NPI: 1871438549
Provider Name (Legal Business Name): COTTAGE HOME CARE FL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1380 NE MIAMI GARDENS DR STE 242A
NORTH MIAMI BEACH FL
33179-4750
US

IV. Provider business mailing address

2598 E SUNRISE BLVD STE 2104
FT LAUDERDALE FL
33304-3230
US

V. Phone/Fax

Practice location:
  • Phone: 516-367-2266
  • Fax: 516-367-1067
Mailing address:
  • Phone: 516-367-2266
  • Fax: 516-367-1067

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. ALLEN STEIN
Title or Position: MGR
Credential:
Phone: 516-367-2266