SOUTH FLORIDA HOME MEDICAL SERVICES LLC (NPI# 1720647779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720647779 |
| Entity Type | Organization |
| Organization Name | SOUTH FLORIDA HOME MEDICAL SERVICES LLC |
| Practice Address |
1031 Ne 17th Ter Homestead FL 33033-4691 |
| Practice Telephone | 7866369985 |
| Practice Fax Number | 3052303959 |
| Mailing Telephone | 7866369985 |
| Mailing Fax Number | 3052303959 |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-07-09 |
| Authorized Official Name | ODETTE MCBRIDE (OWNER) |
| Authorized Official Telephone | 7866369985 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1031 NE 17TH TER |
| City | HOMESTEAD |
| State | FL |
| Zip Code | 33033-4691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346649118 | Nils Gomez Perez | Dentist | 1031 Ne 17th Ter, Homestead, FL 33033-4691 | 2014-08-18 |
| 1609248475 | Odette Mcbride | Nurse Practitioner | 1031 Ne 17th Ter, Homestead, FL 33033-4691 | 2015-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003451832 | Rodolfo Sigler | Pharmacist | 1499 South Dixie Highway, Homestead, FL 33033 | 2019-11-15 |
| 1891337119 | Ricardo Saez | Nurse Practitioner | 2936 Se 3rd Street, Homestead, FL 33033 | 2019-10-09 |
| 1164904876 | Mayrelis Rodriguez Chaviano | Behavior Technician | 1510 E Mowry Dr Apt 107, Homestead, FL 33033 | 2018-08-30 |
| 1598252470 | Mcdivitt Arnold | Community/Behavioral Health | 945 Ne 34 Ave, 104, Homestead, FL 33033 | 2018-04-17 |
| 1972007870 | Anaivys Gomez Abreu | Behavior Technician | 1504 E Mowry Dr Apt 101, Homestead, FL 33033 | 2018-03-23 |
| 1023519261 | Lifeway Programs LLC | Community/Behavioral Health | 15300 Sw 288th St, Homestead, FL 33033 | 2018-02-22 |
| 1447759964 | Yaneisis Salazar Barata | Physical Therapy Assistant | 31 N Krome, Homestead, FL 33033 | 2018-02-10 |
| 1184132763 | C.o.r. Injury Centers of Homestead Inc. | Clinic/Center | 15600 Sw 288th Street, Homestead, FL 33033 | 2018-01-17 |
| 1790299949 | Aidalis Hechavarria | Behavior Technician | 1548 Ne 8th St Apt 105, Homestead, FL 33033 | 2017-11-27 |
| 1053839621 | Generosa E Gonzalez | Behavior Technician | 30322 Sw 161 Ave, Homestead, FL 33033 | 2017-09-05 |
| Find all providers in zip 33033 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821655440 | Leonardo Sanchez Lopez | Nurse Practitioner | 11420 Sw 250th St, Homestead, FL 33032-6039 | 2019-05-20 |
| 1982172656 | Dianellis Marron | Nurse Practitioner | 11584 Sw 244th Ln, Homestead, FL 33032-4716 | 2018-11-11 |
| 1154731941 | Dawn Elizabeth Downing | Nurse Practitioner | 70 Nw 4th St, Homestead, FL 33030-5942 | 2014-05-01 |
| 1972942597 | Patricia Herrand | Nurse Practitioner | 925 Ne 30th Terrace, Suite 310, Homestead, FL 33033-7614 | 2013-06-17 |
| 1528390663 | Professional Nurse Practitioner Inc | Nurse Practitioner | 29157 Sw 186th Ave, Homestead, FL 33030-2439 | 2010-01-30 |
| 1932680022 | Sapna Rao | Nurse Practitioner | 9760 Sw 344th St, Homestead, FL 33035-1800 | 2018-08-27 |
| 1154837623 | Yonaisa Jordana | Nurse Practitioner | 654 Ne 9th Pl, Homestead, FL 33030 | 2017-12-20 |
| 1104276013 | Maria Jessica Londono | Nurse Practitioner | 975 Baptist Way, Hospitalist's Office-2nd Floor Inside PCu, Homestead, FL 33033-7600 | 2016-06-21 |
| 1407293152 | Linda Jean Long | Nurse Practitioner | 975 Baptist Way, Homestead, FL 33033-7600 | 2013-06-03 |
| 1124366471 | Julio Ernesto Gutierrez | Nurse Practitioner | 1443 Ne 8 Street, Homestead, FL 33033 | 2013-01-22 |
| Find all providers in HOMESTEAD | ||||
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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.