MEDICARE: HIS HOUSE, 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	251B00000X	Case Management Agency		FL

General Provider Information

NPI Number	:	1912102005
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIS HOUSE, INC.

Provider Business Mailing Address
First Line	:	20000 NW 47TH AVE
Second Line	:	HECTOR BUILDING NO. 2
City	:	OPA LOCKA
State	:	FL
Zip	:	33055-1543
Country	:	US
Telephone Number	:	305-430-0085
Fax Number	:	305-430-8533

Provider Business Practice Location Address
First Line	:	20000 NW 47TH AVE
Second Line	:	HECTOR BUILDING NO. 2
City	:	OPA LOCKA
State	:	FL
Zip	:	33055-1543
Country	:	US
Telephone Number	:	305-430-0085
Fax Number	:	305-430-8533

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR AND PRESIDENT
Name	:	MRS. JEAN CACERES-GONZALEZ
Credential	:
Telephone Number	:	305-430-0085

Provider Enumeration Date	:	06/19/2007
Last Update Date	:	08/07/2007

Similar Medicare Providers

1669856324 — MS. ALEXANDRIA CAYON MACP
Practice Location Address:

20000 NW 47TH AVE
MIAMI GARDENS, FL
33055-1543

Practice Phone: 305-607-6225
Practice Fax:

1568846756 — HIS HOUSE, INC.
Practice Location Address:

20000 NW 47TH AVE , HECTOR BUILDING NO. 2
MIAMI GARDENS, FL
33055-1543

Practice Phone: 305-430-0085
Practice Fax: 305-474-8533

1194199810 — MR. MICHAEL J GONZALEZ MACP
Practice Location Address:

20000 NW 47TH AVE , HECTOR BUILDING (#2)
MIAMI GARDENS, FL
33055-1543

Practice Phone: 305-430-0085
Practice Fax: 305-474-1312

1952800385 — BEATRIZ HELENA RODRIGUEZ LMHC
Practice Location Address:

20000 NW 47TH AVE
MIAMI GARDENS, FL
33055-1543

Practice Phone: 305-338-9694
Practice Fax:

1932151552 — OLGA MILAGROS DE ARMAS BA
Practice Location Address:

4469 NW 167TH ST
OPA LOCKA, FL
33055-4311

Practice Phone: 305-621-1455
Practice Fax: 305-621-5508

1891742524 — PSYCHE COMMUNITY MENTAL HEALTH CENTER
Practice Location Address:

4851 NW 183RD ST
OPA LOCKA, FL
33055-2955

Practice Phone: 305-622-2850
Practice Fax: 305-622-2852

Directions to “HIS HOUSE, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.