Provider Demographics
NPI:1629697974
Name:HEALTH CARE HOLDINGS, LLC.
Entity Type:Organization
Organization Name:HEALTH CARE HOLDINGS, LLC.
Other - Org Name:SANDRINO PEDIATRIC CARE CENTERS, LLC.
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YUSLEIDY
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDRINO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:305-639-8423
Mailing Address - Street 1:815 NW 57TH AVE STE 125
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-2068
Mailing Address - Country:US
Mailing Address - Phone:305-639-8423
Mailing Address - Fax:
Practice Address - Street 1:815 NW 57TH AVE STE 125
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-2068
Practice Address - Country:US
Practice Address - Phone:305-639-8423
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-15
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM3000XAmbulatory Health Care FacilitiesClinic/CenterMedically Fragile Infants and Children Day Care
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL106087800Medicaid
FL108378000Medicaid