MEDICARE: COMON COMMUNITY CARE 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	253Z00000X	In Home Supportive Care Agency

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	:	1063062578
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMON COMMUNITY CARE LLC

Provider Business Mailing Address
First Line	:	7371 BRIELLA DR
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-3767
Country	:	US
Telephone Number	:	561-644-8185
Fax Number	:

Provider Business Practice Location Address
First Line	:	7371 BRIELLA DR
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-3767
Country	:	US
Telephone Number	:	561-644-8185
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	FRANCIA COMON
Credential	:	N/A
Telephone Number	:	561-644-8185

Provider Enumeration Date	:	09/17/2019
Last Update Date	:	02/06/2020

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Directions to “COMON COMMUNITY CARE LLC ” Practice Location

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