MEDICARE: HEALING WINGS HOME HEALTH, 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	299993408	FL

General Provider Information

NPI Number	:	1144464629
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING WINGS HOME HEALTH, LLC

Provider Business Mailing Address
First Line	:	5411 N UNIVERSITY DR STE 202
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-4637
Country	:	US
Telephone Number	:	866-777-4494
Fax Number	:	954-346-4556

Provider Business Practice Location Address
First Line	:	5411 N UNIVERSITY DR STE 202
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-4637
Country	:	US
Telephone Number	:	866-777-4494
Fax Number	:	954-346-4556

Authorized Official
Title or Position	:	CEO
Name	:	MELINDA L TAYLOR
Credential	:
Telephone Number	:	866-777-4494

Provider Enumeration Date	:	04/28/2009
Last Update Date	:	04/28/2009

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