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NPI Code Detail

MEDICARE: PROCARE HOME HEALTH LLC

MEDICARE: PROCARE HOME HEALTH LLC
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
1251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013528132
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROCARE HOME HEALTH LLC
Provider Business Mailing Address
First Line : 7438 WILES RD
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33067-2066
Country : US
Telephone Number : 954-643-0742
Fax Number :
Provider Business Practice Location Address
First Line : 7438 WILES RD
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33067-2066
Country : US
Telephone Number : 954-643-0742
Fax Number :
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : NICHOLA BROOKS-HAY
Credential :
Telephone Number : 954-715-2474
Provider Enumeration Date : 08/12/2020
Last Update Date : 09/01/2021

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