MEDICARE: SOUTH BEST HOME CARE 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
2	251E00000X	Home Health Agency	299992848	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	299992848	OTHER	FL	STATE LICENSE NUMBER

General Provider Information

NPI Number	:	1205047875
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH BEST HOME CARE INC

Provider Business Mailing Address
First Line	:	1222 SE 47TH ST STE 119-121
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33904-9661
Country	:	US
Telephone Number	:	239-939-0636
Fax Number	:	239-936-7705

Provider Business Practice Location Address
First Line	:	1222 SE 47TH ST # 119-121
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33904-9661
Country	:	US
Telephone Number	:	239-939-0636
Fax Number	:	239-936-7705

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	TAMARA J BATTAIA
Credential	:	RN
Telephone Number	:	239-939-0636

Provider Enumeration Date	:	05/25/2007
Last Update Date	:	07/06/2023

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Directions to “SOUTH BEST HOME CARE INC ” Practice Location

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