MEDICARE: TIMELESS HOME CARE 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	HH19965858	FL

General Provider Information

NPI Number	:	1316112212
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TIMELESS HOME CARE LLC

Provider Business Mailing Address
First Line	:	400 INTERSTATE NORTH PKWY SE STE 1600
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-5047
Country	:	US
Telephone Number	:	470-464-8000
Fax Number	:	770-248-8192

Provider Business Practice Location Address
First Line	:	4901 NW 17TH WAY STE 100
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-3770
Country	:	US
Telephone Number	:	954-367-3816
Fax Number	:	954-367-3813

Authorized Official
Title or Position	:	CFO
Name	:	MATTHEW BUCKHALTER
Credential	:
Telephone Number	:	470-464-8000

Provider Enumeration Date	:	04/23/2008
Last Update Date	:	01/28/2025

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Directions to “TIMELESS HOME CARE LLC ” Practice Location

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