MEDICARE: A&R NURSE REGISTRY 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	253Z00000X	In Home Supportive Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538881891
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A&R NURSE REGISTRY LLC

Provider Business Mailing Address
First Line	:	5700 LAKE WORTH RD STE 201-B
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33463-3204
Country	:	US
Telephone Number	:	561-232-9527
Fax Number	:

Provider Business Practice Location Address
First Line	:	5700 LAKE WORTH RD STE 201-B
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33463-3204
Country	:	US
Telephone Number	:	561-232-9527
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DAMARYS GOMEZ
Credential	:
Telephone Number	:	561-232-9527

Provider Enumeration Date	:	09/14/2022
Last Update Date	:	09/14/2022

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