MEDICARE: HOME COMPANION SERVICES OF FLORIDA, 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	HCS228162	FL

General Provider Information

NPI Number	:	1457319444
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME COMPANION SERVICES OF FLORIDA, INC.

Provider Business Mailing Address
First Line	:	2407 QUANTUM BLVD
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33426-8612
Country	:	US
Telephone Number	:	561-735-3500
Fax Number	:	561-735-7422

Provider Business Practice Location Address
First Line	:	2407 QUANTUM BLVD
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33426-8612
Country	:	US
Telephone Number	:	561-735-3500
Fax Number	:	561-735-7422

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MR. WILLIAM K. HORNECK
Credential	:
Telephone Number	:	561-735-3500

Provider Enumeration Date	:	05/02/2006
Last Update Date	:	10/04/2007

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