MEDICARE: A&N FAMILY 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1639652597
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A&N FAMILY CARE

Provider Business Mailing Address
First Line	:	3125 CORAL RIDGE DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-3383
Country	:	US
Telephone Number	:	786-523-4878
Fax Number	:

Provider Business Practice Location Address
First Line	:	3125 CORAL RIDGE DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-3383
Country	:	US
Telephone Number	:	786-468-6686
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ASHLEY KEEN
Credential	:
Telephone Number	:	786-468-6686

Provider Enumeration Date	:	09/07/2018
Last Update Date	:	09/07/2018

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