Provider Profile
SACRED HEART HOME CARE LLC
Homemaker and Companion Service
FACILITY PROFILE
Street Address
- 17031 NE 23RD AVE APT 6
NORTH MIAMI BEACH, FL 33160
County: Miami-Dade - Phone: (789) 784-6006
Mailing Address
- 17031 NE 23RD AVE APT 6
NORTH MIAMI BEACH, FL 33160
County: Miami-Dade - Phone: (786) 784-6006
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Facility Information:
| Facility/Provider Type: | Homemaker and Companion Service | ||||||
| Administrator: | AVIS JACKSON | ||||||
| Financial Officer: | AVIS JACKSON | ||||||
| Owner/Licensee: | SACRED HEART HOMECARE LLC | ||||||
| Owner/Licensee Since: | 3/30/2023 | ||||||
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| Profit Status: | For-Profit | ||||||
| Licensed Beds: | Not Available | ||||||
| AHCA Number (File Number): | 39975029 | ||||||
| AHCA Field Office: | 11 | ||||||
| License Number: | 239261 | ||||||
| Current License Effective: | 3/30/2023 | ||||||
| Current License Expires: | 3/29/2025 | ||||||
| License Status: | FAILED TO RENEW | ||||||
Services/Characteristics
| Service Area: | DadeMonroe |
Important information and facility/provider definitions can be found in the Glossary.
Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.