Professional Home Health Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROFESSIONAL HOME HEALTH SERVICES LLC

Doing business as

Professional Home Health Services LLC

Practice address

1801 S Ocean Dr Ste I
Hallandale Beach, FL 33009-4931

Phone

(754) 201-2254

Fax

(877) 872-4314

NPI assigned

Jun 10, 2021

Organization subpart

Yes

Parent organization

PROFESSIONAL HOME HEALTH SERVICES, LLCAs reported in NPPES

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

Authorized official

Name

Mariya Manzon

Title

President

Phone

(305) 952-4601

Specialties & licenses 1

Addresses

Other names 1

• Professional Home Health Services LLC Doing business as

Tax ID family

Professional Home Health Services LLC3 organizations share this tax ID, including this one

Part of

Professional Home Health Services LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Professional Home Health Services LLC

  • Home Health Agency
  • North Miami Beach, FL
  • NPI 1104470228
  NPD tax ID
• Professional Home Health Services LLC

  • Home Health Agency
  • Boca Raton, FL
  • NPI 1497605760
  NPD tax ID

Locations

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1124696778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 S OCEAN DR STE I",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094931",
            "telephone_number": "754-201-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S OCEAN DR STE I",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094931",
            "telephone_number": "754-201-2254",
            "fax_number": "877-872-4314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HOME HEALTH SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROFESSIONAL HOME HEALTH SERVICES, LLC",
        "enumeration_date": "2021-06-10",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "MANZON",
        "authorized_official_first_name": "MARIYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-952-4601"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Home Health Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.