Provider Demographics
NPI:1225453590
Name:STAT HEALTHCARE AGENCY INC
Entity Type:Organization
Organization Name:STAT HEALTHCARE AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ROCHENEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-651-6103
Mailing Address - Street 1:160 NW 176TH ST STE 306
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33169-5041
Mailing Address - Country:US
Mailing Address - Phone:305-651-6103
Mailing Address - Fax:305-460-2269
Practice Address - Street 1:160 NW 176TH ST STE 200-3
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33169-5023
Practice Address - Country:US
Practice Address - Phone:305-651-6103
Practice Address - Fax:305-460-2269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-24
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299994239251E00000X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care