MEDICARE: SOUTH CARE HOME HEALTH 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	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	:	1104586130
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH CARE HOME HEALTH CORP.

Provider Business Mailing Address
First Line	:	14601 SW 29TH ST STE 107
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33027-4715
Country	:	US
Telephone Number	:	786-557-4577
Fax Number	:	786-613-4664

Provider Business Practice Location Address
First Line	:	14601 SW 29TH ST STE 107
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33027-4715
Country	:	US
Telephone Number	:	786-557-4577
Fax Number	:	786-613-4664

Authorized Official
Title or Position	:	OWNER
Name	:	MAYDELIN FELIX
Credential	:
Telephone Number	:	786-557-4577

Provider Enumeration Date	:	12/17/2021
Last Update Date	:	04/13/2026

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Directions to “SOUTH CARE HOME HEALTH CORP. ” Practice Location

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