Organization
EXCLUSIVE HOME CARE, INC .
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIRLEY PENA (ADMINISTRATOR)
(305) 225-1900
Entity
Organization
Contact information
Practice address
2450 SW 137TH AVE STE 228, MIAMI, FL 33175-6332
(305) 225-1900
(305) 225-4055
Mailing address
2450 SW 137TH AVE STE 228, MIAMI, FL 33175-6332
(305) 225-1900
(305) 225-4055
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
20335095
FL
251E00000X
Home Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01918304
AMERIGROUP
FL
05
—
650402700
—
FL
05
—
685906200
—
FL
01
—
FL054661
SIMPLY HEALTHCARE
FL
01
—
P10001293649
SUNSHINE HEALTH
FL
Enumeration date
05/15/2006
Last updated
05/10/2018
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