Provider Demographics
NPI:1962280321
Name:1AGENCY HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:1AGENCY HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DENISSE
Authorized Official - Middle Name:
Authorized Official - Last Name:HEDESA RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-312-5970
Mailing Address - Street 1:7225 NW 25TH ST STE 205
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1709
Mailing Address - Country:US
Mailing Address - Phone:305-240-3305
Mailing Address - Fax:
Practice Address - Street 1:7225 NW 25TH ST STE 205
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33122-1709
Practice Address - Country:US
Practice Address - Phone:305-240-3305
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-18
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health