Provider Profile
BLUE DOLPHIN HOME CARE SERVICE LLC
Nurse Registry
FACILITY PROFILE
Street Address
- 12855 SW 136 AVE STE 218
MIAMI, FL 33186
County: Miami-Dade - Phone: (786) 447-3530
Mailing Address
- 12855 SW 136 AVE STE 218
MIAMI, FL 33186
County: Miami-Dade - Phone: (786) 447-3530
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Facility Information:
| Facility/Provider Type: | Nurse Registry | ||||||
| Administrator: | PEDRO J ROMAN | ||||||
| Financial Officer: | PEDRO J ROMAN | ||||||
| Owner/Licensee: | BLUE DOLPHIN HOME CARE SERVICE LLC | ||||||
| Owner/Licensee Since: | 10/14/2024 | ||||||
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| Profit Status: | For-Profit | ||||||
| Licensed Beds: | Not Available | ||||||
| AHCA Number (File Number): | 42965053 | ||||||
| AHCA Field Office: | 11 | ||||||
| License Number: | 30212866 | ||||||
| Current License Effective: | 12/16/2024 | ||||||
| Current License Expires: | 12/15/2026 | ||||||
| License Status: | LICENSED | ||||||
Services/Characteristics
| Service Area: | DadeMonroe |
| Services Provided: | Adult Day CareAssisted Living FacilityCertified Nursing AssistantsCompanionsHome Health AidesHomemakersHospiceHospitalLicensed Practical NursesNursing HomePrivate HomeRegistered Nurses |
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.