PROFESSIONAL HOME SERVICES OF BROWARD (NPI# 1679720015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679720015 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL HOME SERVICES OF BROWARD |
| Practice Address |
12741 Miramar Pkwy 206 Miramar FL 33027-2905 |
| Mailing Address |
12741 Miramar Pkwy 206 Miramar FL 33027-2903 |
| Practice Telephone | 9544308403 |
| Practice Fax Number | 9544308957 |
| Mailing Telephone | 9544308403 |
| Mailing Fax Number | 9544308957 |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2010-08-20 |
| Authorized Official Name | MRS. REBECA N GRILLO (ADMINISTRATOR) |
| Authorized Official Telephone | 3054691819 |
| Authorized Official Credential | R.N., B.S.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
12741 MIRAMAR PKWY 206 |
| City | MIRAMAR |
| State | FL |
| Zip Code | 33027-2905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427043785 | Gabriel Domenech | Internal Medicine | 12741 Miramar Pkwy, Suite 306, Miramar, FL 33027-2903 | 2005-09-13 |
| 1992114235 | Genesiscare Usa of Florida LLC | Internal Medicine | 12741 Miramar Pkwy, Suite 306, Miramar, FL 33027-2903 | 2014-08-12 |
| 1891941837 | Florida Hand Team & Associates Inc | Speech-Language Pathologist | 12741 Miramar Pkwy, Suite 204, Miramar, FL 33027-2903 | 2008-08-11 |
| 1265697262 | Monika Arya | Internal Medicine | 12741 Miramar Pkwy, Miramar, FL 33027-2903 | 2008-07-20 |
| 1033395041 | Wellness Medical Clinic and Geriatric Center Inc | Clinic/Center | 12741 Miramar Pkwy, Building 2, Suite 104, Miramar, FL 33027-2903 | 2008-01-21 |
| 1336344050 | Orffa Masso | Dentist | 12741 Miramar Pkwy, Suite 201, Miramar, FL 33027-2903 | 2007-06-21 |
| 1831185727 | Yavir M. Escovar | Internal Medicine | 12741 Miramar Pkwy, Building 2, Suite 104, Miramar, FL 33027-2903 | 2005-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474808 | A&d Community Mental Health, LLC | Community/Behavioral Health | 1333 Sw 16th Ave, Pembroke Pines, FL 33027 | 2020-10-12 |
| 1275172256 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 12681 Miramar Parkway, Miramar, FL 33027 | 2019-12-23 |
| 1902449424 | Marine M Brown | Nurse Practitioner | 4343 Sw 128th Avenue, Mirmar, FL 33027 | 2019-10-28 |
| 1427699107 | Suncare Therapy, Inc | Physical Therapist | 111 Grant Palms Dr, Pembroke Pines, FL 33027 | 2019-10-03 |
| 1245888080 | Nicole Angelique Munoz | Nurse Practitioner | 12600 Pembroke Rd Ste 200, Miramar, FL 33027 | 2019-08-26 |
| 1770052334 | Katalyst Health, LLC | Family Medicine | 14704 Sw 11 Street, Pembroke Pines, FL 33027 | 2018-11-13 |
| 1700362076 | Jovani Miguel Gonzalez | Dentist | 3600 Sw 163rd Ave, Miramar, FL 33027 | 2018-07-19 |
| 1336648310 | Janelle Monique Mitchell | Behavior Technician | 3350 Sw 148th Ave Suite 110, Miramar, FL 33027 | 2018-02-06 |
| 1437667557 | Elizabeth Connors | Specialist/Technologist | 17089 Sw 16th St, Pembroke Pines, FL 33027 | 2018-01-11 |
| 1992217806 | Bibi Farida Roberts | Counselor | 3590 Sw 142nd Ave, Miramar, FL 33027 | 2017-11-01 |
| Find all providers in zip 33027 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951949 | Impeccable Home Healthcare Services LLC | Home Health | 8910 Miramar Pkwy Ste 312b, Miramar, FL 33025-4100 | 2020-10-26 |
| 1386259166 | West Dixie Medical Staffing LLC | Home Health | 11820 Miramar Pkwy Ste 201, Miramar, FL 33025-5817 | 2020-09-09 |
| 1083224927 | American Home Health Providers of Broward Corp | Home Health | 3350 Sw 148th Ave Ste 110-room 145, Miramar, FL 33027-3237 | 2020-08-05 |
| 1568091940 | Jabez Home Care LLC | Home Health | 3600 S State Road 7 Ste 315, Miramar, FL 33023-5289 | 2020-04-07 |
| 1487291605 | Tsl Health Solutions, Pllc | Home Health | 16271 Sw 23rd St, Miramar, FL 33027-4401 | 2019-12-06 |
| 1053972927 | High Standard Broward Inc | Home Health | 11820 Miramar Pkwy Ste 211, Miramar, FL 33025-5817 | 2019-06-21 |
| 1417510181 | Golden Hands Home Health LLC | Home Health | 7451 Riviera Blvd Ste 113, Miramar, FL 33023-6567 | 2019-04-18 |
| 1922560929 | Diverse Home Care Services Inc | Home Health | 11820 Miramar Pkwy Ste 219, Miramar, FL 33025-5818 | 2019-04-01 |
| 1720547201 | Mdt Home Health of Broward | Home Health | 3600 Red Rd Ste 301n, Miramar, FL 33025-6014 | 2019-03-14 |
| 1396200069 | All Ways Home Care Broward Inc | Home Health | 3600 Red Rd Ste 407, Miramar, FL 33025-6015 | 2019-02-06 |
| Find all providers in MIRAMAR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.