MEDICARE: SHEIL HOMEMAKER COMPANION AGENCY 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	376J00000X	Homemaker

General Provider Information

NPI Number	:	1497453195
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHEIL HOMEMAKER COMPANION AGENCY LLC

Provider Business Mailing Address
First Line	:	7160 IRONWOOD DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32818-5841
Country	:	US
Telephone Number	:	407-242-3846
Fax Number	:

Provider Business Practice Location Address
First Line	:	7160 IRONWOOD DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32818-5841
Country	:	US
Telephone Number	:	407-242-3846
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. SHEILA JEROME
Credential	:
Telephone Number	:	407-242-3846

Provider Enumeration Date	:	02/21/2023
Last Update Date	:	02/21/2023

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