MEDICARE: T.O. HOME CARE, CORP.

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

General Provider Information

NPI Number	:	1588839963
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	T.O. HOME CARE, CORP.

Provider Business Mailing Address
First Line	:	692 W 29TH ST
Second Line	:	SUITE 8
City	:	HIALEAH
State	:	FL
Zip	:	33012-5620
Country	:	US
Telephone Number	:	305-883-3116
Fax Number	:	305-883-3159

Provider Business Practice Location Address
First Line	:	692 W 29TH ST
Second Line	:	SUITE 8
City	:	HIALEAH
State	:	FL
Zip	:	33012-5620
Country	:	US
Telephone Number	:	305-883-3116
Fax Number	:	305-883-3159

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANTONIO M BLANCO
Credential	:
Telephone Number	:	305-883-3116

Provider Enumeration Date	:	04/25/2008
Last Update Date	:	04/25/2008

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