MEDICARE: TOP CARE GROUP HOME 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	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1508232638
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOP CARE GROUP HOME INC

Provider Business Mailing Address
First Line	:	41 NW 190TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33169-4026
Country	:	US
Telephone Number	:	786-877-8688
Fax Number	:

Provider Business Practice Location Address
First Line	:	41 NW 190TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33169-4026
Country	:	US
Telephone Number	:	786-877-8688
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KATIA MILLIEN
Credential	:
Telephone Number	:	786-877-8688

Provider Enumeration Date	:	08/12/2015
Last Update Date	:	08/12/2015

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