MEDICARE: CENTRAL FLORIDA CARE GROUP, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	253Z00000X	In Home Supportive Care Agency
2	372600000X	Adult Companion
3	376J00000X	Homemaker
4	374U00000X	Home Health Aide
5	251E00000X	Home Health Agency
6	3747A0650X	Attendant Care Provider

General Provider Information

NPI Number	:	1396312054
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRAL FLORIDA CARE GROUP, INC.

Provider Business Mailing Address
First Line	:	55 N DOVERPLUM AVE
Second Line	:
City	:	POINCIANA
State	:	FL
Zip	:	34758-3308
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	706 STATE ROAD 60 E
Second Line	:
City	:	LAKE WALES
State	:	FL
Zip	:	33853-4205
Country	:	US
Telephone Number	:	407-499-4456
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TRACEY-ANN ORTIZ
Credential	:
Telephone Number	:	407-499-4456

Provider Enumeration Date	:	06/09/2021
Last Update Date	:	06/01/2026

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