Provider Demographics
NPI:1790906980
Name:PLANET HOME HEALTHCARE, INC.
Entity Type:Organization
Organization Name:PLANET HOME HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:QUINTIN
Authorized Official - Middle Name:ALBERTO
Authorized Official - Last Name:VALIENTE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:305-822-1013
Mailing Address - Street 1:9500 NW 77 AVENUE
Mailing Address - Street 2:SUITE 23
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33016
Mailing Address - Country:US
Mailing Address - Phone:305-822-1013
Mailing Address - Fax:305-822-1014
Practice Address - Street 1:9500 NW 77 AVENUE
Practice Address - Street 2:SUITE 23
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33016
Practice Address - Country:US
Practice Address - Phone:305-822-1013
Practice Address - Fax:305-822-1014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health