MEDICARE: TRADITIONAL 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	202650961	FL

General Provider Information

NPI Number	:	1598717605
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRADITIONAL HOME CARE INC.

Provider Business Mailing Address
First Line	:	PO BOX 1928
Second Line	:
City	:	LEXINGTON
State	:	SC
Zip	:	29071-1928
Country	:	US
Telephone Number	:	803-957-0500
Fax Number	:	888-342-6190

Provider Business Practice Location Address
First Line	:	6555 NW 9TH AVE STE 103
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33309-2048
Country	:	US
Telephone Number	:	954-973-9400
Fax Number	:	954-968-3672

Authorized Official
Title or Position	:	COO/EXEC VP
Name	:	MRS. CHRISTINA M JEFFCOAT
Credential	:
Telephone Number	:	803-957-0500

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	07/24/2025

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