Provider Demographics
NPI:1609633742
Name:MEDHEALTH HOME CARE. AGENCY CORP
Entity Type:Organization
Organization Name:MEDHEALTH HOME CARE. AGENCY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:YANSY
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTESINO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:786-485-4912
Mailing Address - Street 1:9520 SW 40TH ST STE 205
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-4074
Mailing Address - Country:US
Mailing Address - Phone:786-485-4912
Mailing Address - Fax:786-284-5403
Practice Address - Street 1:9520 SW 40TH ST STE 205
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-4074
Practice Address - Country:US
Practice Address - Phone:786-485-4912
Practice Address - Fax:786-284-5403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health