Organization
GRAND OPPORTUNITY HOME HEALTH,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AILIUJ FERNANDEZ CASTANO (PRESIDENT)
(305) 221-9090
Entity
Organization
Contact information
Practice address
13911 SW 42ND ST, SUITE 201, MIAMI, FL 33175-6403
(305) 221-9090
(305) 221-9099
Mailing address
13911 SW 42ND ST, SUITE 201, MIAMI, FL 33175-6403
(305) 221-9090
(305) 221-9099
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299991501
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295793008
MEDICARE FEE FOR SERVICE
FL
05
—
1295793008
—
FL
Enumeration date
05/02/2006
Last updated
07/19/2024
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