Provider Demographics
NPI:1891774519
Name:LEON HOME HEALTH, LLC
Entity Type:Organization
Organization Name:LEON HOME HEALTH, LLC
Other - Org Name:LEON AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MAURY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-261-1242
Mailing Address - Street 1:8600 NW 41ST ST STE 203
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6202
Mailing Address - Country:US
Mailing Address - Phone:305-428-0680
Mailing Address - Fax:305-631-3461
Practice Address - Street 1:8600 NW 41ST ST
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6202
Practice Address - Country:US
Practice Address - Phone:305-642-5366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-11
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299993837251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLJCAHOOtherJOINT COMMISSION
FLJCAHOOtherJOINT COMMISSION
FLJCAHOOtherJOINT COMMISSION