Provider Demographics
NPI:1205239373
Name:PERIHEALTH LLC
Entity type:Organization
Organization Name:PERIHEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:VALBUENA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:305-921-9535
Mailing Address - Street 1:3450 W 84TH ST
Mailing Address - Street 2:103-A
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33018-4924
Mailing Address - Country:US
Mailing Address - Phone:305-921-9535
Mailing Address - Fax:
Practice Address - Street 1:3450 W 84TH ST
Practice Address - Street 2:103-A
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33018-4924
Practice Address - Country:US
Practice Address - Phone:305-921-9535
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-03
Last Update Date:2014-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care