MEDICARE: CARING HANDS ASSISTED LIVING II, 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	310400000X	Assisted Living Facility	11684	FL

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	:	1972835916
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING HANDS ASSISTED LIVING II, INC.

Provider Business Mailing Address
First Line	:	13025 NW 2ND AVE
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33168-4613
Country	:	US
Telephone Number	:	305-668-0502
Fax Number	:

Provider Business Practice Location Address
First Line	:	13025 NW 2ND AVE
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33168-4613
Country	:	US
Telephone Number	:	305-668-0502
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MIGUEL RODRIGUEZ
Credential	:
Telephone Number	:	305-409-6471

Provider Enumeration Date	:	02/02/2010
Last Update Date	:	02/02/2010

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