MEDICARE: FIRST CASE HOME HEALTH AGENCY CORP.

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	:	1063656742
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST CASE HOME HEALTH AGENCY CORP.

Provider Business Mailing Address
First Line	:	4199 SW 142ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-6440
Country	:	US
Telephone Number	:	786-318-8262
Fax Number	:

Provider Business Practice Location Address
First Line	:	777 NW 72ND AVE
Second Line	:	SUITE # 3162-B
City	:	MIAMI
State	:	FL
Zip	:	33126-3009
Country	:	US
Telephone Number	:	305-264-6334
Fax Number	:	305-264-6335

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. CLAUDIA E ORTEGA
Credential	:	LPN
Telephone Number	:	786-318-8262

Provider Enumeration Date	:	04/27/2009
Last Update Date	:	04/27/2009

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