MEDICARE: LIMED HOME HEALTH CARE, INC.

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		FL

General Provider Information

NPI Number	:	1548483316
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIMED HOME HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	342 E 9TH ST
Second Line	:	SUITE 203
City	:	HIALEAH
State	:	FL
Zip	:	33010-4216
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	342 E 9TH ST
Second Line	:	SUITE 203
City	:	HIALEAH
State	:	FL
Zip	:	33010-4216
Country	:	US
Telephone Number	:	305-884-8383
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	ALFONSO LI MORERA
Credential	:
Telephone Number	:	305-884-8383

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	08/22/2020

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