Professional Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROFESSIONAL HOME HEALTH LLC

Practice address

3798 W 12TH Ave
Suite B
Hialeah, FL 33012-4126

Phone

(305) 820-3993

Fax

(305) 820-3996

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Santiago Ordaz

Title

Managing Member/Cfo

Phone

(305) 820-3993

Specialties & licenses 1

Addresses

Other names 1

• Professional Home Health LLC Former legal business name

Locations

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1669556791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3798 W 12TH AVE",
            "address_2": "SUITE B",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124126",
            "telephone_number": "305-820-3993",
            "fax_number": "305-820-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3798 W 12TH AVE",
            "address_2": "SUITE B",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124126",
            "telephone_number": "305-820-3993",
            "fax_number": "305-820-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "ORDAZ",
        "authorized_official_first_name": "SANTIAGO",
        "authorized_official_title_or_position": "MANAGING MEMBER/CFO",
        "authorized_official_telephone_number": "305-820-3993"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Home Health LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Professional Health Care Medical Equipment, Inc.
• Professional Health Care Medical Equipment, LLC
• Professional Home Alf Inc.
• Professional Home Care Corp.
• Professional Home Care III
• Professional Medical Building Group Inc
• Professional Medical Center Inc
• Professional Medical Home Health LLC
• Professional Medical Physical Health LLC
• Professional Medical Services & Management

• Home Health Agency in Hialeah, FL
• Providers in Hialeah, 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 Oct 23, 2007; 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.