Active NPI
Professional Home Health Care, Inc.
- Home Health Agency
- Miami, FL
National Provider Identifier
1811142953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 299993613
- Legal business name
- PROFESSIONAL HOME HEALTH CARE, INC.
- Practice address
- 4155 SW 130TH Ave
Suite 212
Miami, FL 33175-3414 - Phone
- (305) 558-9960
- Fax
- (305) 558-9943
- NPI assigned
- Nov 17, 2008
- 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
- Jorge A Noa
- Title
- President/Ceo
- Phone
- (305) 558-9960
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 299993613 | FL | Primary |
Addresses
Primary practice location
4155 SW 130TH Ave
Suite 212
Miami, FL 33175-3414
Mailing address
4155 SW 130TH Ave
Suite 212
Miami, FL 33175-3414
Phone (305) 558-9960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109623 | Other | FL | MEDICARE |
National Provider Directory
National Provider DirectoryLocations
8051 W 24th Ave
#K10
Hialeah, FL 33016
Phone (305) 558-9960
9500 NW 77th Ave
Ste 19
Hialeah Gardens, FL 33016
Phone (305) 558-9960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1420588800000",
"number": "1811142953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4155 SW 130TH AVE",
"address_2": "SUITE 212",
"city": "MIAMI",
"state": "FL",
"postal_code": "331753414",
"telephone_number": "305-558-9960",
"fax_number": "305-558-9943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4155 SW 130TH AVE",
"address_2": "SUITE 212",
"city": "MIAMI",
"state": "FL",
"postal_code": "331753414",
"telephone_number": "305-558-9960",
"fax_number": "305-558-9943"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL HOME HEALTH CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-17",
"last_updated": "2015-01-07",
"status": "A",
"authorized_official_last_name": "NOA",
"authorized_official_first_name": "JORGE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "305-558-9960"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "299993613",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "109623",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
- Professional Health Diagnostics, Inc
- Professional Health Management Services
- Professional Health Network Inc
- Professional Healthcare Medical Management, Inc
- Professional Home Care Solutions
- Professional Images Services Inc
- Professional Massage Rehab Center, Corp.
- Professional Massage& Theraphy Inc.
- Professional Medical Equipment Services, Inc.
- Professional Medical GRP Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.