Provider Demographics
NPI:1912719733
Name:NOSA HOME HEALTH LLC
Entity type:Organization
Organization Name:NOSA HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:A
Authorized Official - Last Name:ESPINOSA
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:305-394-8251
Mailing Address - Street 1:2500 NW 79TH AVE STE 291
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1090
Mailing Address - Country:US
Mailing Address - Phone:305-394-8251
Mailing Address - Fax:
Practice Address - Street 1:2500 NW 79TH AVE STE 291
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33122-1090
Practice Address - Country:US
Practice Address - Phone:305-394-8251
Practice Address - Fax:305-394-8253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health