MEDICARE: EMILY HOME CARE 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1316889173
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMILY HOME CARE LLC

Provider Business Mailing Address
First Line	:	14885 MYSTIC LAKE CIR APT 5105
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34119-6771
Country	:	US
Telephone Number	:	954-770-4782
Fax Number	:	954-770-4782

Provider Business Practice Location Address
First Line	:	14885 MYSTIC LAKE CIR APT 5105
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34119-6771
Country	:	US
Telephone Number	:	954-770-4782
Fax Number	:	954-770-4782

Authorized Official
Title or Position	:	OWNER
Name	:	ARIANNA PEREZ ABALLI
Credential	:
Telephone Number	:	954-770-4782

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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Directions to “EMILY HOME CARE LLC ” Practice Location

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