Blue Dolphin Home Care Service LLC

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Legal business name

BLUE DOLPHIN HOME CARE SERVICE LLC

Practice address

12855 SW 136TH Ave Ste 218
Miami, FL 33186-5828

Phone

(786) 447-3530

Fax

(786) 221-4200

NPI assigned

Dec 17, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pedro J RomanNPI 1033921176

Title

Owner

Phone

(786) 447-3530

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pedro J Roman

  • Registered Nurse
  • Miami, FL
  • NPI 1033921176
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1093522534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12855 SW 136TH AVE STE 218",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865828",
            "telephone_number": "786-447-3530",
            "fax_number": "786-221-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12855 SW 136TH AVE STE 218",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865828",
            "telephone_number": "786-447-3530",
            "fax_number": "786-221-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE DOLPHIN HOME CARE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-447-3530"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "30212866",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Attendant Care Provider in Miami, FL
• Providers in Miami, FL by specialty
• Attendant Care Provider in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.