Provider Demographics
NPI:1699816934
Name:MIAMI PREFERRED HOME CARE, INC.
Entity Type:Organization
Organization Name:MIAMI PREFERRED HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-594-9717
Mailing Address - Street 1:14750 SW 26TH ST STE 204
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33185-5936
Mailing Address - Country:US
Mailing Address - Phone:305-594-9717
Mailing Address - Fax:305-594-0757
Practice Address - Street 1:14750 SW 26TH ST STE 204
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33185-5936
Practice Address - Country:US
Practice Address - Phone:305-594-9717
Practice Address - Fax:305-594-0757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2012-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health