Provider Demographics
NPI:1750458113
Name:JUANITO HOME CARE, INC.
Entity type:Organization
Organization Name:JUANITO HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CIRILO
Authorized Official - Middle Name:EDUARDO
Authorized Official - Last Name:REINOSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-491-0365
Mailing Address - Street 1:2500 NW 79TH AVE STE 123
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1075
Mailing Address - Country:US
Mailing Address - Phone:305-392-9244
Mailing Address - Fax:305-392-9245
Practice Address - Street 1:JUANITO HOME CARE 2500 NW 79TH AVE STE 123
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33122-1075
Practice Address - Country:US
Practice Address - Phone:305-392-9244
Practice Address - Fax:305-392-9245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health