MEDICARE: CARING HEART HOME HEALTH SERVICES, 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
1	251E00000X	Home Health Agency

Other Identifiers

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

General Provider Information

NPI Number	:	1316280126
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING HEART HOME HEALTH SERVICES, LLC

Provider Business Mailing Address
First Line	:	2640 HOLLYWOOD BLVD
Second Line	:	SUITE #123
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-4852
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2640 HOLLYWOOD BLVD
Second Line	:	SUITE #123
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-4852
Country	:	US
Telephone Number	:	954-341-8014
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR/ALT. DON
Name	:	MRS. DARY MARIE DEROY
Credential	:	RN
Telephone Number	:	954-341-8014

Provider Enumeration Date	:	03/29/2013
Last Update Date	:	03/29/2013

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Directions to “CARING HEART HOME HEALTH SERVICES, LLC ” Practice Location

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