MEDICARE: REST ASSURED HOME CARE, LLC

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	251J00000X	Nursing Care Agency
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1477390276
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REST ASSURED HOME CARE, LLC

Provider Business Mailing Address
First Line	:	10700 CARIBBEAN BLVD
Second Line	:	STE 301
City	:	CUTLER BAY
State	:	FL
Zip	:	33189-1230
Country	:	US
Telephone Number	:	305-910-3315
Fax Number	:

Provider Business Practice Location Address
First Line	:	10700 CARIBBEAN BLVD
Second Line	:	STE 301
City	:	CUTLER BAY
State	:	FL
Zip	:	33189-1230
Country	:	US
Telephone Number	:	305-910-3315
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER/ ADMINISTRATOR
Name	:	MRS. TANISE BETHEL-GUERRA
Credential	:	RN
Telephone Number	:	305-910-3315

Provider Enumeration Date	:	07/10/2024
Last Update Date	:	09/30/2024

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