MEDICARE: HEARTBEAT HOME HEALTH AGENCY, 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	251E00000X	Home Health Agency	PENDING

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	10-9083	OTHER	FL	MEDICARE CERTIFICATION NUMBER (CCN)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	299992603	OTHER	FL	HOME HEALTH LICENSE
3	466696	OTHER	FL	JOINT COMMISSION ID #
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407941735
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARTBEAT HOME HEALTH AGENCY, INC.

Provider Business Mailing Address
First Line	:	11420 N KENDALL DR
Second Line	:	SUITE 108
City	:	MIAMI
State	:	FL
Zip	:	33176-1039
Country	:	US
Telephone Number	:	305-979-1031
Fax Number	:	786-201-3798

Provider Business Practice Location Address
First Line	:	11420 N KENDALL DR
Second Line	:	SUITE 108
City	:	MIAMI
State	:	FL
Zip	:	33176-1039
Country	:	US
Telephone Number	:	305-979-1031
Fax Number	:	786-201-3798

Authorized Official
Title or Position	:	DON/PRESIDENT
Name	:	MRS. EDENIA M FRIEDMAN
Credential	:	RN
Telephone Number	:	786-201-3798

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	03/25/2010

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Directions to “HEARTBEAT HOME HEALTH AGENCY, INC. ” Practice Location

Language	Start Address	Practice Location

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