MEDICARE: ALLEGIANCE HOME HEALTH 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	:	1306275417
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLEGIANCE HOME HEALTH INC

Provider Business Mailing Address
First Line	:	1700 SW 12TH AVE UNIT B
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33486-6619
Country	:	US
Telephone Number	:	561-367-0711
Fax Number	:

Provider Business Practice Location Address
First Line	:	7520 NW 5TH ST STE 101
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33317-1613
Country	:	US
Telephone Number	:	561-367-0711
Fax Number	:

Authorized Official
Title or Position	:	CEO/ ADMINISTRATOR
Name	:	MR. JOSEPH LOUIS MARTIN III
Credential	:
Telephone Number	:	561-367-0711

Provider Enumeration Date	:	11/08/2013
Last Update Date	:	11/08/2013

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