Healthcare Provider Details

I. General information

NPI: 1063465896
Provider Name (Legal Business Name): ENJOYABLE HOME HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 05/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 NE 125TH ST 302
NORTH MIAMI FL
33161-5722
US

IV. Provider business mailing address

915 NE 125TH ST 302
NORTH MIAMI FL
33161-5722
US

V. Phone/Fax

Practice location:
  • Phone: 786-507-1515
  • Fax: 786-507-1516
Mailing address:
  • Phone: 786-507-1515
  • Fax: 786-507-1516

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number299992368
License Number StateFL

VIII. Authorized Official

Name: MRS. AURELIE DORICENT
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 786-507-1515