MEDICARE: HANDS ON HOME CARE, 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

General Provider Information

NPI Number	:	1588765911
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANDS ON HOME CARE, INC.

Provider Business Mailing Address
First Line	:	6213 PRESIDENTIAL CT
Second Line	:	SUITE C
City	:	FORT MYERS
State	:	FL
Zip	:	33919-3564
Country	:	US
Telephone Number	:	239-489-2606
Fax Number	:	239-489-2604

Provider Business Practice Location Address
First Line	:	6213 PRESIDENTIAL CT
Second Line	:	SUITE C
City	:	FORT MYERS
State	:	FL
Zip	:	33919-3564
Country	:	US
Telephone Number	:	239-489-2606
Fax Number	:	239-489-2604

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARK RODGERS
Credential	:
Telephone Number	:	239-489-2606

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	08/22/2020

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