MEDICARE: ALLIED HOME HEALTH SERVICES, 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	:	1588724629
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIED HOME HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	111 NW 183RD ST STE 100
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33169-4520
Country	:	US
Telephone Number	:	305-623-4400
Fax Number	:	305-626-8909

Provider Business Practice Location Address
First Line	:	111 NW 183RD ST STE 100
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33169-4520
Country	:	US
Telephone Number	:	305-623-4400
Fax Number	:	305-626-8909

Authorized Official
Title or Position	:	ARNP-DON, ALTERNATE ADMINISTRATOR
Name	:	RISIKAT A. AZEEZ
Credential	:	ARNP
Telephone Number	:	305-623-4400

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	08/22/2020

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