MEDICARE: AG HOME HEALTH SERVICES, 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	:	1013188010
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AG HOME HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	15291 NW 60TH AVE
Second Line	:	SUITE 109
City	:	MIAMI LAKES
State	:	FL
Zip	:	33014-2458
Country	:	US
Telephone Number	:	305-822-3355
Fax Number	:	305-822-4481

Provider Business Practice Location Address
First Line	:	15291 NW 60TH AVE
Second Line	:	SUITE 109
City	:	MIAMI LAKES
State	:	FL
Zip	:	33014-2458
Country	:	US
Telephone Number	:	305-822-3355
Fax Number	:	305-822-4481

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ALCIDES GARCIA
Credential	:
Telephone Number	:	305-822-3355

Provider Enumeration Date	:	03/18/2008
Last Update Date	:	03/18/2008

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