MEDICARE: PRESTIGIOUS HOME HEALTH 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1417255928
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRESTIGIOUS HOME HEALTH CARE INC

Provider Business Mailing Address
First Line	:	3350 SW 148TH AVE
Second Line	:	SUITE 110
City	:	MIRAMAR
State	:	FL
Zip	:	33027-3257
Country	:	US
Telephone Number	:	786-925-1600
Fax Number	:	305-818-6609

Provider Business Practice Location Address
First Line	:	3350 SW 148TH AVE
Second Line	:	SUITE 110
City	:	MIRAMAR
State	:	FL
Zip	:	33027-3257
Country	:	US
Telephone Number	:	786-925-1600
Fax Number	:	305-818-6609

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. MICHAEL M TORRES
Credential	:
Telephone Number	:	786-925-1600

Provider Enumeration Date	:	03/08/2011
Last Update Date	:	03/08/2011

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