Healthcare Provider Details
I. General information
NPI: 1891541140
Provider Name (Legal Business Name): ART HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/27/2024
Last Update Date: 05/19/2024
Certification Date: 05/19/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16851 NE 23RD AVE APT 301
NORTH MIAMI BEACH FL
33160-3729
US
IV. Provider business mailing address
16851 NE 23RD AVE APT 301
NORTH MIAMI BEACH FL
33160-3729
US
V. Phone/Fax
- Phone: 305-631-6128
- Fax:
- Phone: 305-631-6128
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ESMERALDA
CESAR
Title or Position: CEO
Credential:
Phone: 786-222-9238