=====================================================
General NPI Number Information
=====================================================
NPI Number | 1871463232
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RIVERA HOME CARE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/10/2025
-----------------------------------------------------
Last Update Date | 11/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7135 SW 125TH AVE
-----------------------------------------------------
City | KENDALL
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33183-2504
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-468-5922
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7135 SW 125TH AVE
-----------------------------------------------------
City | KENDALL
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33183-2504
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-468-5922
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MR. LOUIS PHILIPPE CARRE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 438-337-4466
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QD1600X
-----------------------------------------------------
Taxonomy Name | Developmental Disabilities Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------