MEDICARE: HEALTH CARE FAMILY REHABILITATION CORP

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	261QR0400X	Rehabilitation Clinic/Center
2	251S00000X	Community/Behavioral Health Agency

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	686863	OTHER	FL	MEDICARE PROVIDER

Other Identifiers

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

General Provider Information

NPI Number	:	1023068202
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH CARE FAMILY REHABILITATION CORP

Provider Business Mailing Address
First Line	:	5901 NW 183RD ST STE 311
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-6008
Country	:	US
Telephone Number	:	786-333-3961
Fax Number	:	305-819-3327

Provider Business Practice Location Address
First Line	:	5901 NW 183RD ST STE 311
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-6008
Country	:	US
Telephone Number	:	786-333-3961
Fax Number	:	305-819-3327

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	JANNY ALFONSO
Credential	:
Telephone Number	:	305-819-3133

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	02/08/2021

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