MEDICARE: HOME CARING SOLUTIONS & STAFFING

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	233952	FL

General Provider Information

NPI Number	:	1568842730
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME CARING SOLUTIONS & STAFFING

Provider Business Mailing Address
First Line	:	3101 PALM TRACE LANDINGS DR
Second Line	:	1301
City	:	DAVIE
State	:	FL
Zip	:	33314-6806
Country	:	US
Telephone Number	:	786-222-6721
Fax Number	:

Provider Business Practice Location Address
First Line	:	3101 PALM TRACE LANDINGS DR
Second Line	:	1301
City	:	DAVIE
State	:	FL
Zip	:	33314-6806
Country	:	US
Telephone Number	:	786-222-6721
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. TRAJEAN FIDEL
Credential	:
Telephone Number	:	954-864-2399

Provider Enumeration Date	:	06/03/2015
Last Update Date	:	06/03/2015

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