MEDICARE: CARING HEART HOME HEALTH CORPORATION

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	21853096	FL

General Provider Information

NPI Number	:	1023033974
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING HEART HOME HEALTH CORPORATION

Provider Business Mailing Address
First Line	:	7173 W OAKLAND PARK BLVD
Second Line	:
City	:	LAUDERHILL
State	:	FL
Zip	:	33313-1050
Country	:	US
Telephone Number	:	954-748-3575
Fax Number	:	954-748-8674

Provider Business Practice Location Address
First Line	:	7173 W OAKLAND PARK BLVD
Second Line	:
City	:	LAUDERHILL
State	:	FL
Zip	:	33313-1050
Country	:	US
Telephone Number	:	954-748-3575
Fax Number	:	954-748-8674

Authorized Official
Title or Position	:	CEO
Name	:	MR. HUGH BAILEY
Credential	:
Telephone Number	:	954-748-3575

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	12/11/2007

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