MEDICARE: CHERSEA 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1003667056
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHERSEA HOMECARE INC.

Provider Business Mailing Address
First Line	:	1799 W OAKLAND PARK BLVD STE 306B
Second Line	:
City	:	OAKLAND PARK
State	:	FL
Zip	:	33311-1537
Country	:	US
Telephone Number	:	754-302-5241
Fax Number	:

Provider Business Practice Location Address
First Line	:	1799 W OAKLAND PARK BLVD STE 306B
Second Line	:
City	:	OAKLAND PARK
State	:	FL
Zip	:	33311-1537
Country	:	US
Telephone Number	:	754-302-5241
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. KETTIA BEAUVOIS
Credential	:
Telephone Number	:	754-302-5241

Provider Enumeration Date	:	03/28/2024
Last Update Date	:	03/28/2024

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