MEDICARE: AMICABLE HOME HEALTH 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

General Provider Information

NPI Number	:	1215221106
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMICABLE HOME HEALTH CARE INC

Provider Business Mailing Address
First Line	:	2101 VISTA PKWY STE 102
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-2706
Country	:	US
Telephone Number	:	561-249-5393
Fax Number	:	561-370-6810

Provider Business Practice Location Address
First Line	:	2101 VISTA PKWY
Second Line	:	SUITE 102
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-2706
Country	:	US
Telephone Number	:	561-317-6145
Fax Number	:	561-249-5394

Authorized Official
Title or Position	:	PRES
Name	:	LUCY GORBATOVA
Credential	:
Telephone Number	:	561-249-5393

Provider Enumeration Date	:	06/08/2011
Last Update Date	:	03/29/2022

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Directions to “AMICABLE HOME HEALTH CARE INC ” Practice Location

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