Provider Demographics
NPI:1225231194
Name:RONAT HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:RONAT HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RODOLFO
Authorized Official - Middle Name:
Authorized Official - Last Name:NIETO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:305-971-5357
Mailing Address - Street 1:12855 SW 136TH AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-5827
Mailing Address - Country:US
Mailing Address - Phone:305-971-5357
Mailing Address - Fax:305-971-5358
Practice Address - Street 1:12855 SW 136TH AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5827
Practice Address - Country:US
Practice Address - Phone:305-971-5357
Practice Address - Fax:305-971-5358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2009-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992299251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
10-9308OtherMEDICARE CERTIFICATION NUMBER