MEDICARE: S & S OPTIMUM REHAB AND STAFFING SERVICES 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

General Provider Information

NPI Number	:	1336472000
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	S & S OPTIMUM REHAB AND STAFFING SERVICES LLC

Provider Business Mailing Address
First Line	:	3975 VILLAGE DR
Second Line	:	UNIT D
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-2961
Country	:	US
Telephone Number	:	561-637-8917
Fax Number	:	561-498-0733

Provider Business Practice Location Address
First Line	:	3975 VILLAGE DR
Second Line	:	UNIT D
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-2961
Country	:	US
Telephone Number	:	561-637-8917
Fax Number	:	561-498-0733

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ELVIS E LOPEZ
Credential	:	DPT
Telephone Number	:	561-637-8917

Provider Enumeration Date	:	09/14/2009
Last Update Date	:	09/14/2009

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