# OPEN WINGS HOME AGENCY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OPEN WINGS HOME CARE AGENCY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003582891
- **Authorized official:** ANA ANGELICA PEREZ (CEO)
- **Authorized official phone:** (786) 319-8209

## Contact information

- **Practice address:** 16499 NE 19TH AVE STE 213, N MIAMI BEACH, FL 33162-4105
- **Practice address phone:** (786) 319-8209
- **Mailing address:** 1548 NE 176TH ST, NORTH MIAMI BEACH, FL 33162-1445
- **Mailing address phone:** (786) 319-8209

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/20/2021
- **Last updated:** 12/19/2024