Healthcare Provider Details

I. General information

NPI: 1568382182
Provider Name (Legal Business Name): CORAL REEF HOME HEALTH SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9050 PINES BLVD STE 415-420
PEMBROKE PINES FL
33024-6455
US

IV. Provider business mailing address

9050 PINES BLVD STE 415-420
PEMBROKE PINES FL
33024-6455
US

V. Phone/Fax

Practice location:
  • Phone: 954-893-2607
  • Fax: 954-893-2607
Mailing address:
  • Phone: 954-893-2607
  • Fax: 954-893-2607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ARIAN OJEDA GARCIA
Title or Position: OWNER, DON
Credential: RN
Phone: 954-893-2607