MEDICARE: LIFECARE SOLUTIONS EAST, 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

General Provider Information

NPI Number	:	1043558208
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFECARE SOLUTIONS EAST, INC.

Provider Business Mailing Address
First Line	:	8120 BELVEDERE RD UNIT 5
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411
Country	:	US
Telephone Number	:	561-795-5315
Fax Number	:	561-784-2766

Provider Business Practice Location Address
First Line	:	5121 BOWDEN RD
Second Line	:	SUITE 306
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-5961
Country	:	US
Telephone Number	:	904-781-5015
Fax Number	:	904-781-5014

Authorized Official
Title or Position	:	CEO
Name	:	MR. BRIAN SABATASO
Credential	:
Telephone Number	:	561-795-5315

Provider Enumeration Date	:	01/23/2013
Last Update Date	:	01/23/2013

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