MEDICARE: P/S HOME HEALTH CARE

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	332B00000X	Durable Medical Equipment & Medical Supplies	843	FL

General Provider Information

NPI Number	:	1427041128
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	P/S HOME HEALTH CARE

Provider Business Mailing Address
First Line	:	1779 W 37TH ST
Second Line	:	SUITE 15
City	:	HIALEAH
State	:	FL
Zip	:	33012-4671
Country	:	US
Telephone Number	:	305-557-0669
Fax Number	:	305-557-0845

Provider Business Practice Location Address
First Line	:	1779 W 37TH ST
Second Line	:	SUITE 15
City	:	HIALEAH
State	:	FL
Zip	:	33012-4671
Country	:	US
Telephone Number	:	305-557-0669
Fax Number	:	305-557-0845

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GISELA VALLADARES
Credential	:
Telephone Number	:	305-557-0669

Provider Enumeration Date	:	08/26/2005
Last Update Date	:	08/22/2020

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Directions to “P/S HOME HEALTH CARE ” Practice Location

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