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NPI Code Detail

MEDICARE: DADE HOME HEALTH LLC

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
1253Z00000XIn Home Supportive Care Agency
2251E00000XHome Health AgencyAPPLIEDFL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID 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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