MEDICARE: TRUSTED HOME CARE AGENCY, 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

Other Identifiers

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

General Provider Information

NPI Number	:	1275187015
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUSTED HOME CARE AGENCY, LLC

Provider Business Mailing Address
First Line	:	6971 N FEDERAL HWY STE 100
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33487-1648
Country	:	US
Telephone Number	:	561-770-6030
Fax Number	:	561-939-2952

Provider Business Practice Location Address
First Line	:	6971 N FEDERAL HWY STE 100
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33487-1648
Country	:	US
Telephone Number	:	617-706-0305
Fax Number	:	561-926-9473

Authorized Official
Title or Position	:	CFO
Name	:	MR. BRYAN PLONSKY
Credential	:
Telephone Number	:	561-998-6039

Provider Enumeration Date	:	07/30/2019
Last Update Date	:	06/23/2023

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