Organization Active NPI

Puerto Amigo Home Care LLC

  • In Home Supportive Care Agency
  • Aventura, FL
National Provider Identifier
1346919057
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PUERTO AMIGO HOME CARE LLC
Practice address
3301 N Country Club Dr Apt 501
Aventura, FL 33180-1614
Phone
(954) 599-5185
NPI assigned
Sep 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Authorized official

Name
Mr. Ivan Geovanni Bermeo
Title
Manager
Phone
(954) 599-5185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3301 N Country Club Dr Apt 501
Aventura, FL 33180-1614

Mailing address

3301 N Country Club Dr Apt 501
Aventura, FL 33180-1614
Phone (954) 599-5185

National Provider Directory

National Provider Directory
Tax ID family
Puerto Amigo Home Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1346919057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 N COUNTRY CLUB DR APT 501",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801614",
            "telephone_number": "954-599-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 N COUNTRY CLUB DR APT 501",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801614",
            "telephone_number": "954-599-5185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUERTO AMIGO HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A",
        "authorized_official_last_name": "BERMEO",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "GEOVANNI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-599-5185",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.