MEDICARE: LAZARO HOME HEALTH CARE, 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		FL

General Provider Information

NPI Number	:	1962512285
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAZARO HOME HEALTH CARE, INC

Provider Business Mailing Address
First Line	:	11401 SW 40TH ST STE 324
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-3339
Country	:	US
Telephone Number	:	305-223-4017
Fax Number	:	305-223-4018

Provider Business Practice Location Address
First Line	:	11401 SW 40TH ST STE 324
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-3339
Country	:	US
Telephone Number	:	305-223-4017
Fax Number	:	305-223-4018

Authorized Official
Title or Position	:	CEO
Name	:	YOSVANY COLLERA
Credential	:	RN
Telephone Number	:	305-223-4017

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	08/22/2020

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