=====================================================
General NPI Number Information
=====================================================
NPI Number | 1285599100
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HEALING PARTNERS HOME HEALTH CORP
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/23/2025
-----------------------------------------------------
Last Update Date | 12/23/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 12985 SW 130TH CT STE 102-5
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33186-5312
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-250-3242
-----------------------------------------------------
Fax | 786-250-3241
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 12985 SW 130TH CT STE 102-5
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33186-5312
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-250-3242
-----------------------------------------------------
Fax | 786-250-3241
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR, OWNER, CFO
-----------------------------------------------------
Name | WILLIAN MACIAS ORTIZ
-----------------------------------------------------
Credential | RN
-----------------------------------------------------
Telephone | 786-250-3242
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------