MEDICARE: 247 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

General Provider Information

NPI Number	:	1114482254
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	247 CARE INC.

Provider Business Mailing Address
First Line	:	1717 LAKE LORINE DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-6122
Country	:	US
Telephone Number	:	438-764-7975
Fax Number	:

Provider Business Practice Location Address
First Line	:	1717 LAKE LORINE DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-6122
Country	:	US
Telephone Number	:	438-764-7975
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ANDIE MATHURIN
Credential	:
Telephone Number	:	438-764-7975

Provider Enumeration Date	:	02/03/2019
Last Update Date	:	02/03/2019

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