MEDICARE: YOUR FAMILY HOME HEALTH CARE SERVICES, 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	299992274	FL

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
2	299992274	OTHER	FL	AHCA HHA LICENSE

General Provider Information

NPI Number	:	1306820840
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YOUR FAMILY HOME HEALTH CARE SERVICES, INC.

Provider Business Mailing Address
First Line	:	10550 NW 77TH CT
Second Line	:	SUITE 224
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33016-7084
Country	:	US
Telephone Number	:	305-381-5921
Fax Number	:	305-381-0005

Provider Business Practice Location Address
First Line	:	10550 NW 77TH CT
Second Line	:	SUITE 224
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33016-7084
Country	:	US
Telephone Number	:	305-381-5921
Fax Number	:	305-381-0005

Authorized Official
Title or Position	:	PRESIDENT/ADMIN
Name	:	MR. CARLOS RODRIGUEZ MURO
Credential	:
Telephone Number	:	305-381-5921

Provider Enumeration Date	:	11/29/2005
Last Update Date	:	09/10/2013

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