MEDICARE: DADE HOME HEALTH LLC

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	APPLIED	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679700249
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DADE HOME HEALTH LLC

Provider Business Mailing Address
First Line	:	15450 NEW BARN RD STE 309
Second Line	:
City	:	MIAMI LAKES
State	:	FL
Zip	:	33014-2169
Country	:	US
Telephone Number	:	305-860-8200
Fax Number	:	305-860-8555

Provider Business Practice Location Address
First Line	:	15450 NEW BARN RD STE 309
Second Line	:
City	:	MIAMI LAKES
State	:	FL
Zip	:	33014-2169
Country	:	US
Telephone Number	:	305-860-8200
Fax Number	:	305-860-8555

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JEFF E STONE
Credential	:
Telephone Number	:	954-610-3796

Provider Enumeration Date	:	06/22/2009
Last Update Date	:	06/18/2020

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Directions to “DADE HOME HEALTH LLC ” Practice Location

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