# NURSING INNOVATE HOME HEALTHCARE. LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669220034
- **Authorized official:** MR. RAYNALD ANTOINE REGISTERED NURSE (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (305) 978-3706

## Contact information

- **Practice address:** 1175 NE 125TH ST, NORTH MIAMI, FL 33161-5015
- **Practice address phone:** (305) 978-3706
- **Mailing address:** 1175 NE 125TH ST, NORTH MIAMI, FL 33161-5015
- **Mailing address phone:** (305) 978-3706

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | Yes |
| 163WH0200X | Home Health Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 05/09/2024
- **Last updated:** 05/09/2024