MEDICARE: MIAMI HOME HEALTH AGENCY, 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	:	1689612327
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIAMI HOME HEALTH AGENCY, INC

Provider Business Mailing Address
First Line	:	7120 SW 47TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-4630
Country	:	US
Telephone Number	:	786-268-7823
Fax Number	:	786-268-7827

Provider Business Practice Location Address
First Line	:	7120 SW 47TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-4630
Country	:	US
Telephone Number	:	786-268-7823
Fax Number	:	786-268-7827

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	MRS. FELISA CARIDAD NOA
Credential	:
Telephone Number	:	786-268-7823

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	08/22/2020

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