Active NPI
Professional Medical Home Health LLC
- Home Health Agency
- Hialeah, FL
National Provider Identifier
1720128887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HHA299992614
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA299992614 | Other | FL | HHA LICENSE |
National Provider Directory
National Provider DirectoryNPI 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
- Professional Home Care Corp.
- Professional Home Care III
- Professional Home Health LLC
- Professional Medical Building Group Inc
- Professional Medical Center Inc
- Professional Medical Physical Health LLC
- Professional Medical Services & Management
- Professional Medical Services & Management Inc.
- Professional Medical Srvcs Corp
- Professional Medical Transportation Corp
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.