MEDICARE: SOUTHERN FLORIDA HOMECARE, 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	30211796	FL
2	253Z00000X	In Home Supportive Care Agency	233794	FL
3	251J00000X	Nursing Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730562612
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTHERN FLORIDA HOMECARE, INC

Provider Business Mailing Address
First Line	:	801 NORTHPOINT PKWY
Second Line	:	SUITE #30
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-1973
Country	:	US
Telephone Number	:	561-275-1735
Fax Number	:	561-899-6828

Provider Business Practice Location Address
First Line	:	801 NORTHPOINT PKWY STE 43
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-1994
Country	:	US
Telephone Number	:	561-275-1735
Fax Number	:	561-899-6828

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	ISLAND VALCEUS
Credential	:
Telephone Number	:	561-275-1735

Provider Enumeration Date	:	07/09/2015
Last Update Date	:	12/21/2018

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Directions to “SOUTHERN FLORIDA HOMECARE, INC ” Practice Location

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