MEDICARE: OPTION CARE ENTERPRISES, 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	251E00000X	Home Health Agency	299994060	FL

General Provider Information

NPI Number	:	1548664212
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTION CARE ENTERPRISES, INC.

Provider Business Mailing Address
First Line	:	2864 PAYSPHERE CIR
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60674-0028
Country	:	US
Telephone Number	:	727-592-0045
Fax Number	:

Provider Business Practice Location Address
First Line	:	7680 UNIVERSAL BLVD
Second Line	:	SUITE 460
City	:	ORLANDO
State	:	FL
Zip	:	32819-8900
Country	:	US
Telephone Number	:	727-592-0045
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT & CFO
Name	:	MICHAEL SHAPIRO
Credential	:
Telephone Number	:	800-879-6137

Provider Enumeration Date	:	10/09/2014
Last Update Date	:	04/14/2022

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