MEDICARE: FOREVER CARE NO 1 LLC

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	376J00000X	Homemaker

General Provider Information

NPI Number	:	1053271858
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOREVER CARE NO 1 LLC

Provider Business Mailing Address
First Line	:	1001 S M ST APT 13
Second Line	:
City	:	LAKE WORTH BEACH
State	:	FL
Zip	:	33460-5169
Country	:	US
Telephone Number	:	239-497-1515
Fax Number	:

Provider Business Practice Location Address
First Line	:	1001 S M ST APT 13
Second Line	:
City	:	LAKE WORTH BEACH
State	:	FL
Zip	:	33460-5169
Country	:	US
Telephone Number	:	239-497-1515
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	REKIYA HAMILTON
Credential	:	CNA
Telephone Number	:	728-728-0222

Provider Enumeration Date	:	11/13/2025
Last Update Date	:	11/13/2025

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Directions to “FOREVER CARE NO 1 LLC ” Practice Location

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