Provider Demographics
NPI:1356142707
Name:LAS MERCEDES HOME HEALTH LLC
Entity type:Organization
Organization Name:LAS MERCEDES HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:RAAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-986-4474
Mailing Address - Street 1:6355 NW 36TH ST STE 2200
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-7060
Mailing Address - Country:US
Mailing Address - Phone:305-586-0558
Mailing Address - Fax:
Practice Address - Street 1:6355 NW 36TH ST STE 2200
Practice Address - Street 2:
Practice Address - City:VIRGINIA GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33166-7060
Practice Address - Country:US
Practice Address - Phone:305-586-0558
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health