Private Duty Home Health Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PRIVATE DUTY HOME HEALTH CARE LLC

Practice address

2500 NW 79TH Ave Ste 165
Doral, FL 33122-1082

Phone

(786) 472-6289

Fax

(786) 522-4376

NPI assigned

Jan 5, 2024

Organization subpart

No

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

Authorized official

Name

Hassan Madeha

Title

Owner, Cfo

Phone

(786) 472-6289

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1699545160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NW 79TH AVE STE 165",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221082",
            "telephone_number": "786-472-6289",
            "fax_number": "786-522-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NW 79TH AVE STE 165",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221082",
            "telephone_number": "786-472-6289",
            "fax_number": "786-522-4376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE DUTY HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "MADEHA",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "OWNER, CFO",
        "authorized_official_telephone_number": "786-472-6289"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.