MEDICARE: TIME IS CARE, CORP

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	10391	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	:	1386839504
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TIME IS CARE, CORP

Provider Business Mailing Address
First Line	:	19010 NW 44TH AVE
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33055-2622
Country	:	US
Telephone Number	:	305-624-2442
Fax Number	:

Provider Business Practice Location Address
First Line	:	19010 NW 44TH AVE
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33055-2622
Country	:	US
Telephone Number	:	305-624-2442
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ENUMELIA HERNANDEZ
Credential	:
Telephone Number	:	305-624-2442

Provider Enumeration Date	:	09/11/2007
Last Update Date	:	01/28/2012

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Directions to “TIME IS CARE, CORP ” Practice Location

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