MEDICARE: HOME SWEET HOME OF FLORIDA 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	332B00000X	Durable Medical Equipment & Medical Supplies		FL

General Provider Information

NPI Number	:	1518160613
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME SWEET HOME OF FLORIDA LLC

Provider Business Mailing Address
First Line	:	801 BRICKELL BAY DR
Second Line	:	SUITE 861
City	:	MIAMI
State	:	FL
Zip	:	33131-2952
Country	:	US
Telephone Number	:	786-777-0030
Fax Number	:	786-777-0033

Provider Business Practice Location Address
First Line	:	801 BRICKELL BAY DR
Second Line	:	SUITE 861
City	:	MIAMI
State	:	FL
Zip	:	33131-2952
Country	:	US
Telephone Number	:	786-777-0030
Fax Number	:	786-777-0033

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. NICOLAS AGUIRRE
Credential	:
Telephone Number	:	786-777-0030

Provider Enumeration Date	:	06/06/2007
Last Update Date	:	08/22/2020

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