MEDICARE: CARE4ME HOME HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	163WH0200X	Home Health Registered Nurse
2	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
3	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1376220947
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE4ME HOME HEALTH LLC

Provider Business Mailing Address
First Line	:	852 OBERRY HOOVER RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32825
Country	:	US
Telephone Number	:	727-742-9004
Fax Number	:

Provider Business Practice Location Address
First Line	:	121 DRENNEN RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-6116
Country	:	US
Telephone Number	:	727-742-9004
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	KRISTY OFORI
Credential	:	PHARMD
Telephone Number	:	727-742-9004

Provider Enumeration Date	:	07/05/2023
Last Update Date	:	12/16/2024

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