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General NPI Number Information
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NPI Number | 1669636684
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Entity Type | Organization
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Legal Business Name | HEARTWELL HOME HEALTH CARE CORP.
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Dates
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Enumeration Date | 07/18/2008
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 2500 NW 79TH AVE STE 116
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City | DORAL
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State | FL
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Zip | 33122-1075
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Country | US
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Telephone | 305-591-7898
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 NW 79TH AVE STE 116
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City | DORAL
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State | FL
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Zip | 33122-1075
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Country | US
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Telephone | 305-591-7898
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Fax |
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Authorized Official
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Title or Position | CFO, ALTERNATIVE ADMINISTRATOR, CO-
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Name | CLEMENTE SIERRA
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Credential |
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Telephone | 305-591-7898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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