MEDICARE: R&AE CARE & COMPANIONSHIP

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	:	1063204857
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	R&AE CARE & COMPANIONSHIP

Provider Business Mailing Address
First Line	:	2820 MARSHFIELD PRESERVE WAY
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34746-2176
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2820 MARSHFIELD PRESERVE WAY
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34746-2176
Country	:	US
Telephone Number	:	407-698-0968
Fax Number	:	786-866-2886

Authorized Official
Title or Position	:	ALTERNATE ADMINISTRATOR/NURSE
Name	:	SARADGINE RIVETTE
Credential	:
Telephone Number	:	407-698-0967

Provider Enumeration Date	:	05/19/2025
Last Update Date	:	08/06/2025

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