MEDICARE: LA ORQUIDEA HOME CARE

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	310400000X	Assisted Living Facility	AL 10797	FL

General Provider Information

NPI Number	:	1598973729
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LA ORQUIDEA HOME CARE

Provider Business Mailing Address
First Line	:	10460 NW 129TH ST
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33018-6004
Country	:	US
Telephone Number	:	305-362-6257
Fax Number	:	305-225-1289

Provider Business Practice Location Address
First Line	:	10460 NW 129TH ST
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33018-6004
Country	:	US
Telephone Number	:	305-362-6257
Fax Number	:	305-225-1289

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	FRANSISCA GARCIA
Credential	:
Telephone Number	:	305-362-6257

Provider Enumeration Date	:	05/20/2007
Last Update Date	:	08/22/2020

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Directions to “LA ORQUIDEA HOME CARE ” Practice Location

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