MEDICARE: SHADES OF VISIONS FOR BETTER LIVING 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

General Provider Information

NPI Number	:	1558258574
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHADES OF VISIONS FOR BETTER LIVING LLC.

Provider Business Mailing Address
First Line	:	4901 NW 14TH ST
Second Line	:
City	:	LAUDERHILL
State	:	FL
Zip	:	33313-5510
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4901 NW 14TH ST
Second Line	:
City	:	LAUDERHILL
State	:	FL
Zip	:	33313-5510
Country	:	US
Telephone Number	:	305-419-9994
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MALARGO THOMAS
Credential	:
Telephone Number	:	305-431-9994

Provider Enumeration Date	:	06/23/2025
Last Update Date	:	06/23/2025

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