MEDICARE: SKILL HOME HEALTH 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		FL

General Provider Information

NPI Number	:	1831254952
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SKILL HOME HEALTH CARE, CORP

Provider Business Mailing Address
First Line	:	2720 SW 97TH AVE
Second Line	:	SUITE 104
City	:	MIAMI
State	:	FL
Zip	:	33165-2677
Country	:	US
Telephone Number	:	305-227-8601
Fax Number	:	305-227-8602

Provider Business Practice Location Address
First Line	:	2720 SW 97TH AVE
Second Line	:	SUITE 104
City	:	MIAMI
State	:	FL
Zip	:	33165-2677
Country	:	US
Telephone Number	:	305-227-8601
Fax Number	:	305-227-8602

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JULIO CESAR DELGADO
Credential	:	RN
Telephone Number	:	305-227-8601

Provider Enumeration Date	:	12/27/2006
Last Update Date	:	08/22/2020

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