MEDICARE: COMPREHENSIVE 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	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician
2	251G00000X	Community Based Hospice Care Agency	5013096	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

General Provider Information

NPI Number	:	1316037633
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE HOME HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	6900 SW 80TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33143-4931
Country	:	US
Telephone Number	:	305-591-1606
Fax Number	:	305-591-1618

Provider Business Practice Location Address
First Line	:	6900 SW 80TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33143-4931
Country	:	US
Telephone Number	:	305-591-1606
Fax Number	:	305-591-1618

Authorized Official
Title or Position	:	ADMINISTRATOR/COMPLIANCE OFFICER
Name	:	MR. JULIO HUMBERTO TAMAYO
Credential	:	LHCRM.
Telephone Number	:	305-591-1606

Provider Enumeration Date	:	10/15/2006
Last Update Date	:	09/28/2020

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