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NPI Code Detail

MEDICARE: HOME BOUND CARE, INC.

MEDICARE: HOME BOUND 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
1251E00000XHome Health Agency299994304FL

Other Identifiers

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

General Provider Information

NPI Number : 1992141279
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOME BOUND CARE, INC.
Provider Business Mailing Address
First Line : 2331 N STATE ROAD 7
Second Line : #220
City : LAUDERDALE LAKES
State : FL
Zip : 33313-3748
Country : US
Telephone Number : 954-730-3200
Fax Number : 305-652-1290
Provider Business Practice Location Address
First Line : 2331 N STATE ROAD 7
Second Line : #220
City : LAUDERDALE LAKES
State : FL
Zip : 33313-3748
Country : US
Telephone Number : 954-730-3200
Fax Number : 305-652-1290
Authorized Official
Title or Position : ADMINISTRATOR
Name : MISS JACKIE CARTER
Credential : RN,C
Telephone Number : 305-652-3100
Provider Enumeration Date : 05/14/2013
Last Update Date : 12/02/2025

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Directions to “HOME BOUND CARE, INC. ” Practice Location

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