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Organization
MIAMI HOMECARE USA, LLC
Active
Organization
MIAMI HOMECARE USA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONID YEVDAYEV (ADMINISTRATOR)
(754) 310-2273
Entity
Organization
Contact information
Practice address
4520 W HALLANDALE BEACH BLVD STE 11, PEMBROKE PARK, FL 33023-4344
(754) 310-2273
(954) 589-5626
Mailing address
4520 W HALLANDALE BEACH BLVD STE 11, PEMBROKE PARK, FL 33023-4344
(754) 310-2237
(954) 589-5626
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123630100
—
FL
Enumeration date
09/25/2024
Last updated
02/13/2025
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