MEDICARE: A PLUS GENTLE CARE

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	30211261	FL

General Provider Information

NPI Number	:	1548430457
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A PLUS GENTLE CARE

Provider Business Mailing Address
First Line	:	1005 N KROME AVE
Second Line	:
City	:	HOMESTEAD
State	:	FL
Zip	:	33030-4460
Country	:	US
Telephone Number	:	305-246-1400
Fax Number	:

Provider Business Practice Location Address
First Line	:	1005 N KROME AVE
Second Line	:
City	:	HOMESTEAD
State	:	FL
Zip	:	33030-4460
Country	:	US
Telephone Number	:	305-246-1400
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. SERGE SEJOUR
Credential	:	RN
Telephone Number	:	305-246-1400

Provider Enumeration Date	:	03/06/2008
Last Update Date	:	03/06/2008

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