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Organization
MILLER HEALTHCARE NETWORK LLC
Active
Organization
MILLER HEALTHCARE NETWORK LLC
Active
Other names
Tina's Personal Care Assistants Group
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTINE JULES MILLER (ADMINISTRATOR)
(786) 663-9790
Entity
Organization
Contact information
Practice address
6073 NW 167TH ST, SUITE C7, HIALEAH, FL 33015-4336
(786) 663-9790
(305) 395-5239
Mailing address
6073 NW 167TH ST, SUITE C-7, HIALEAH, FL 33015-4336
(786) 663-9790
(305) 395-5239
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
30211621
FL
163WH0200X
Home Health Registered Nurse
30211621
FL
163WI0500X
Infusion Therapy Registered Nurse
30211621
FL
164W00000X
Licensed Practical Nurse
30211621
FL
251E00000X
Home Health Agency
Primary
30211621
FL
251F00000X
Home Infusion Agency
30211621
FL
251J00000X
Nursing Care Agency
30211621
FL
253Z00000X
In Home Supportive Care Agency
231125
FL
372500000X
Chore Provider
30211621
FL
372600000X
Adult Companion
30211621
FL
3747A0650X
Attendant Care Provider
30211621
FL
3747P1801X
Personal Care Attendant
30211621
FL
374U00000X
Home Health Aide
30211621
FL
376J00000X
Homemaker
30211621
FL
376K00000X
Nurse's Aide
30211621
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001866900
ADA/PAC MEDICAID WAIVER
FL
01
—
002664300
MEDICAID STATE PLAN / PCA
FL
01
—
003059300
APD MEDICAID WAIVER (DEVELOPMENTAL DISABILITIES)
FL
Enumeration date
09/02/2010
Last updated
09/26/2013
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