MEDICARE: OWEN CARE SERVICES, 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		FL

General Provider Information

NPI Number	:	1427504562
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OWEN CARE SERVICES, INC

Provider Business Mailing Address
First Line	:	20300 SW 106TH CT
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33189-1330
Country	:	US
Telephone Number	:	786-521-9767
Fax Number	:

Provider Business Practice Location Address
First Line	:	20300 SW 106TH CT
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33189-1330
Country	:	US
Telephone Number	:	786-521-9767
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARIA RICARDO
Credential	:
Telephone Number	:	786-521-9767

Provider Enumeration Date	:	08/29/2016
Last Update Date	:	08/29/2016

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