Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PORT ROYAL HOME HEALTH CARE INC
Active
Organization
PORT ROYAL HOME HEALTH CARE INC
Active
Other names
Port Royal Transportation, Mandeville Quality Care
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTO-JAY BAILEY (CEO)
(305) 337-1717
Entity
Organization
Contact information
Practice address
111 NW 183RD ST STE 405, MIAMI, FL 33169-4619
(305) 337-1717
(786) 440-5046
Mailing address
111 NW 183RD ST STE 405, MIAMI, FL 33169-4619
(305) 337-1717
(786) 440-5046
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111478500
—
FL
Enumeration date
07/19/2017
Last updated
08/17/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up