Provider Demographics
NPI:1912143116
Name:MIAMI HOME HEALTH SERVICES CORP
Entity Type:Organization
Organization Name:MIAMI HOME HEALTH SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JESUS
Authorized Official - Middle Name:S
Authorized Official - Last Name:NIEBLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-282-3434
Mailing Address - Street 1:7105 SW 8TH ST
Mailing Address - Street 2:SUITE 405
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-4664
Mailing Address - Country:US
Mailing Address - Phone:305-282-3434
Mailing Address - Fax:
Practice Address - Street 1:7105 SW 8TH ST
Practice Address - Street 2:SUITE 405
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-4664
Practice Address - Country:US
Practice Address - Phone:305-282-3434
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-18
Last Update Date:2008-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPENDING MEDICARE #OtherPENDING MEDICARE #