Organization
INNOVATION HOME HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YITSY M CORES (ADMINISTRATOR)
(305) 592-3192
Entity
Organization
Contact information
Practice address
14628 SW 8TH ST, MIAMI, FL 33184-3135
(305) 592-3192
(305) 592-3191
Mailing address
14628 SW 8TH ST, MIAMI, FL 33184-3135
(305) 592-3192
(305) 592-3191
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299992382
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
299992382
AHCA STATE LICENSE
FL
05
—
651625400
—
FL
05
—
691941396
—
FL
Enumeration date
05/04/2006
Last updated
11/04/2023
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