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NPI Code Detail

MEDICARE: MOUNTAIN VIEW HOME HEALTHCARE LLC.

MEDICARE: MOUNTAIN VIEW HOME HEALTHCARE 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
1374700000XTechnician
2253Z00000XIn Home Supportive Care Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225746555
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOUNTAIN VIEW HOME HEALTHCARE LLC.
Provider Business Mailing Address
First Line : 6953 SW 36TH DR
Second Line :
City : MIRAMAR
State : FL
Zip : 33023-6666
Country : US
Telephone Number : 754-223-0012
Fax Number : 954-208-4377
Provider Business Practice Location Address
First Line : 7971 RIVIERA BLVD STE 328
Second Line :
City : MIRAMAR
State : FL
Zip : 33023-6449
Country : US
Telephone Number : 786-541-3216
Fax Number :
Authorized Official
Title or Position : CEO
Name : MISS KELISHA FERGUSON
Credential :
Telephone Number : 954-519-3660
Provider Enumeration Date : 11/07/2022
Last Update Date : 05/18/2026

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