Provider Profile
JOSE HOME CARE SOLUTION LLC
Home Health Agency
FACILITY PROFILE
Street Address
- 2020 NE 163RD ST STE 106
N MIAMI BEACH, FL 33162-4927
County: Miami-Dade - Phone: (786) 925-2112
Mailing Address
- 2020 NE 163RD ST STE 106
N MIAMI BEACH, FL 33162-4927
County: Miami-Dade - Phone: (305) 705-3293
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Facility Information:
| Facility/Provider Type: | Home Health Agency | |||||||||
| Administrator: | NICKSON BERNADIN | |||||||||
| Chief Executive Officer: | Not Available | |||||||||
| Financial Officer: | NICKSON BERNADIN | |||||||||
| Owner/Licensee: | JOSE HOME CARE SOLUTION LLC | |||||||||
| Owner/Licensee Since: | 9/28/2023 | |||||||||
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| Profit Status: | For-Profit | |||||||||
| Management Company: | Not Available | |||||||||
| Manager Since: | Not Available | |||||||||
| Licensed Beds: | Not Available | |||||||||
| AHCA Number (File Number): | 19969988 | |||||||||
| AHCA Field Office: | 11 | |||||||||
| License Number: | 299996219 | |||||||||
| Current License Effective: | 9/20/2024 | |||||||||
| Current License Expires: | 9/19/2026 | |||||||||
| License Status: | LICENSED | |||||||||
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Services/Characteristics
| Service Area: | DadeMonroe |
| Certification Status: | Not Certified |
| SERVICES PROVIDED: | Certified Nursing Assistant |
| Special Designation: | Non-Skilled Services Only |
| Skilled Pediatric Services: | No |
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.