MEDICARE: CARING FOR HEALTH HOME CARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	HHA299992778	FL

General Provider Information

NPI Number	:	1013188093
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING FOR HEALTH HOME CARE, INC.

Provider Business Mailing Address
First Line	:	3408 W 84TH ST
Second Line	:	SUITE # 315
City	:	HIALEAH
State	:	FL
Zip	:	33018-4944
Country	:	US
Telephone Number	:	305-556-3036
Fax Number	:	305-556-2028

Provider Business Practice Location Address
First Line	:	3408 W 84TH ST
Second Line	:	STE 315
City	:	HIALEAH
State	:	FL
Zip	:	33018-4944
Country	:	US
Telephone Number	:	305-556-3036
Fax Number	:	305-556-2028

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. PEDRO SAN JORGE
Credential	:
Telephone Number	:	305-556-3036

Provider Enumeration Date	:	03/18/2008
Last Update Date	:	07/11/2008

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