MEDICARE: HOME CARE RESOURCES HOME HEALTH AGENCY, 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	251E00000X	Home Health Agency	299991938	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053468496
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME CARE RESOURCES HOME HEALTH AGENCY, LLC

Provider Business Mailing Address
First Line	:	7000 W PALMETTO PARK RD STE 210
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33433-3430
Country	:	US
Telephone Number	:	305-895-7052
Fax Number	:	305-895-7054

Provider Business Practice Location Address
First Line	:	5979 NW 151ST ST STE 109
Second Line	:
City	:	MIAMI LAKES
State	:	FL
Zip	:	33014-2446
Country	:	US
Telephone Number	:	305-895-7052
Fax Number	:	305-895-7054

Authorized Official
Title or Position	:	AO
Name	:	LISA MARIE MARTINOLICH
Credential	:
Telephone Number	:	561-252-2470

Provider Enumeration Date	:	01/05/2007
Last Update Date	:	11/13/2025

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