Organization Active NPI

Life Home Healthcare Corp

  • Home Health Agency
  • Miami, FL
National Provider Identifier
1841462587
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299992426 Issued in FL
Legal business name
LIFE HOME HEALTHCARE CORP
Practice address
12900 SW 128 Street
Suite 103
Miami, FL 33186-6274
Phone
(305) 253-2424
Fax
(305) 253-2435
NPI assigned
Apr 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Authorized official

Name
Mr. Octavio Antonio Sordo
Title
Ceo, President, Cfo
Phone
(305) 228-9555

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299992426
Home Health Agency 251E00000X 299992426 FL Primary
Home Health Agency 251E00000X

Addresses

Primary practice location

12900 SW 128 Street
Suite 103
Miami, FL 33186-6274

Mailing address

12900 SW 128 Street
Suite 103
Miami, FL 33186-6274
Phone (305) 253-2424

Other identifiers 1

IdentifierTypeStateIssuer
PENDING MEDICARE#OtherFLPENDING MEDICARE#

National Provider Directory

National Provider Directory

Locations

12900 SW 128th St
Ste 103
Miami, FL 33186
Phone (305) 253-2424

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1841462587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 SW 128 STREET",
            "address_2": "SUITE 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866274",
            "telephone_number": "305-253-2424",
            "fax_number": "305-253-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900 SW 128 STREET",
            "address_2": "SUITE 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866274",
            "telephone_number": "305-253-2424",
            "fax_number": "305-253-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE HOME HEALTHCARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "SORDO",
        "authorized_official_first_name": "OCTAVIO",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "CEO, PRESIDENT, CFO",
        "authorized_official_telephone_number": "305-228-9555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": "299992426",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992426",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENDING MEDICARE#",
            "identifier": "PENDING MEDICARE#",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.