MEDICARE: EMBASSY HOME 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	310400000X	Assisted Living Facility	AL8668	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	:	1346392404
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMBASSY HOME CARE INC

Provider Business Mailing Address
First Line	:	6093 NW 9TH CT
Second Line	:
City	:	MARGATE
State	:	FL
Zip	:	33063-3661
Country	:	US
Telephone Number	:	954-972-5600
Fax Number	:	954-972-0666

Provider Business Practice Location Address
First Line	:	6093 NW 9TH CT
Second Line	:
City	:	MARGATE
State	:	FL
Zip	:	33063-3661
Country	:	US
Telephone Number	:	954-972-5600
Fax Number	:	954-972-0666

Authorized Official
Title or Position	:	PRES
Name	:	MRS. ROSELLA HARPAUL
Credential	:
Telephone Number	:	954-972-5600

Provider Enumeration Date	:	01/17/2007
Last Update Date	:	08/22/2020

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Directions to “EMBASSY HOME CARE INC ” Practice Location

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