MEDICARE: BLUE HOPE PROFESSIONAL CARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency		FL

General Provider Information

NPI Number	:	1447357678
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLUE HOPE PROFESSIONAL CARE, INC.

Provider Business Mailing Address
First Line	:	11401 SW 40TH ST
Second Line	:	SUITE: 327
City	:	MIAMI
State	:	FL
Zip	:	33165-3372
Country	:	US
Telephone Number	:	305-553-5325
Fax Number	:	305-553-5326

Provider Business Practice Location Address
First Line	:	11401 SW 40TH ST
Second Line	:	SUITE: 327
City	:	MIAMI
State	:	FL
Zip	:	33165-3372
Country	:	US
Telephone Number	:	305-553-5325
Fax Number	:	305-553-5326

Authorized Official
Title or Position	:	ADMINISTRATOR/CEO
Name	:	MR. JOSE FELIX ROJAS
Credential	:
Telephone Number	:	305-553-5325

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	08/22/2020

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