MEDICARE: HOME CARE OF AMERICA

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	251C00000X	Developmentally Disabled Services Day Training Agency	232541	FL
2	251T00000X	PACE Provider Organization	232541	FL
3	253Z00000X	In Home Supportive Care Agency	232541	FL
4	344600000X	Taxi	232541	FL
5	347C00000X	Private Vehicle	232541	FL
6	385H00000X	Respite Care	232541	FL
7	385HR2050X	Respite Care Camp	232541	FL
8	385HR2055X	Child Mental Illness Respite Care	232541	FL
9	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care	232541	FL
10	385HR2065X	Child Physical Disabilities Respite Care	232541	FL
11	251E00000X	Home Health Agency	232541	FL

General Provider Information

NPI Number	:	1427318542
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME CARE OF AMERICA

Provider Business Mailing Address
First Line	:	3112 HIDDEN LAKE CV
Second Line	:
City	:	MIDDLEBURG
State	:	FL
Zip	:	32068-8256
Country	:	US
Telephone Number	:	224-623-4469
Fax Number	:	904-213-0798

Provider Business Practice Location Address
First Line	:	3112 HIDDEN LAKE CV
Second Line	:
City	:	MIDDLEBURG
State	:	FL
Zip	:	32068-8256
Country	:	US
Telephone Number	:	224-623-4469
Fax Number	:	904-213-0798

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. RENE LUMENE
Credential	:
Telephone Number	:	224-623-4469

Provider Enumeration Date	:	05/22/2012
Last Update Date	:	05/22/2012

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Directions to “HOME CARE OF AMERICA ” Practice Location

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