MEDICARE: PROKIDZ HEALTH CARE SOLUTIONS 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	253Z00000X	In Home Supportive Care Agency
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1558096248
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROKIDZ HEALTH CARE SOLUTIONS INC

Provider Business Mailing Address
First Line	:	15260 SW 280TH ST. SUITE 201
Second Line	:
City	:	HOMESTEAD
State	:	FL
Zip	:	33032-8187
Country	:	US
Telephone Number	:	407-800-6086
Fax Number	:	305-230-2038

Provider Business Practice Location Address
First Line	:	15260 SW 280TH ST. SUITE 201
Second Line	:
City	:	HOMESTEAD
State	:	FL
Zip	:	33032-8187
Country	:	US
Telephone Number	:	407-800-6086
Fax Number	:	305-230-2038

Authorized Official
Title or Position	:	OWNER, VP
Name	:	ISVEL DELGADO RODRIGUEZ
Credential	:
Telephone Number	:	407-800-6086

Provider Enumeration Date	:	07/18/2022
Last Update Date	:	10/08/2024

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