MEDICARE: CONFICARE HOME HEALTH SOLUTIONS, 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1548329717
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONFICARE HOME HEALTH SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	2322 LAKELAND HILLS BLVD
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33805-2995
Country	:	US
Telephone Number	:	502-315-1701
Fax Number	:

Provider Business Practice Location Address
First Line	:	5137 S. LAKELAND DRIVE
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33813-1543
Country	:	US
Telephone Number	:	502-315-1701
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF FINANCE
Name	:	LORI WHITLOCK
Credential	:
Telephone Number	:	502-315-1701

Provider Enumeration Date	:	12/06/2006
Last Update Date	:	11/28/2012

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