Organization Active NPI

Professional Medical Home Health LLC

  • Home Health Agency
  • Hialeah, FL
National Provider Identifier
1720128887
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA299992614 Issued in FL
Legal business name
PROFESSIONAL MEDICAL HOME HEALTH LLC
Practice address
930 Hialeah Dr
Unit 14
Hialeah, FL 33010-5534
Phone
(305) 884-0409
Fax
(305) 884-0410
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

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

Authorized official

Name
Flor Vives
Title
President
Phone
(305) 884-0409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA299992614 FL Primary

Addresses

Primary practice location

930 Hialeah Dr
Unit 14
Hialeah, FL 33010-5534

Mailing address

930 Hialeah Dr
Unit 14
Hialeah, FL 33010-5534
Phone (305) 884-0409

Other identifiers 1

IdentifierTypeStateIssuer
HHA299992614OtherFLHHA LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1720128887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 HIALEAH DR",
            "address_2": "UNIT 14",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330105534",
            "telephone_number": "305-884-0409",
            "fax_number": "305-884-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 HIALEAH DR",
            "address_2": "UNIT 14",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330105534",
            "telephone_number": "305-884-0409",
            "fax_number": "305-884-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL MEDICAL HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "VIVES",
        "authorized_official_first_name": "FLOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-884-0409"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA299992614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HHA LICENSE",
            "identifier": "HHA299992614",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; 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.