MEDICARE: MAGER HEALTHCARE GROUP INC.

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	:	1194051250
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAGER HEALTHCARE GROUP INC.

Provider Business Mailing Address
First Line	:	677 N WASHINGTON BLVD
Second Line	:	SUITE #15
City	:	SARASOTA
State	:	FL
Zip	:	34236-4241
Country	:	US
Telephone Number	:	941-365-1111
Fax Number	:	941-365-9999

Provider Business Practice Location Address
First Line	:	677 N WASHINGTON BLVD
Second Line	:	SUITE #15
City	:	SARASOTA
State	:	FL
Zip	:	34236-4241
Country	:	US
Telephone Number	:	941-365-1111
Fax Number	:	941-365-9999

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. MARK MAGER SR.
Credential	:
Telephone Number	:	941-365-1111

Provider Enumeration Date	:	10/26/2009
Last Update Date	:	10/26/2009

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