MEDICARE: STELLA MARIS CARE PARTNERS 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1427852854
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STELLA MARIS CARE PARTNERS INC

Provider Business Mailing Address
First Line	:	1151 PLOVER AVE
Second Line	:
City	:	MIAMI SPRINGS
State	:	FL
Zip	:	33166-4350
Country	:	US
Telephone Number	:	786-479-9699
Fax Number	:

Provider Business Practice Location Address
First Line	:	1151 PLOVER AVE
Second Line	:
City	:	MIAMI SPRINGS
State	:	FL
Zip	:	33166-4350
Country	:	US
Telephone Number	:	786-479-9699
Fax Number	:

Authorized Official
Title or Position	:	AGENCY ADMINISTRATOR
Name	:	JORGE L FERNANDEZ
Credential	:
Telephone Number	:	786-479-9699

Provider Enumeration Date	:	04/03/2025
Last Update Date	:	04/03/2025

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