MEDICARE: HOME CARE OF AMERICA, 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	:	1598805558
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME CARE OF AMERICA, INC.

Provider Business Mailing Address
First Line	:	31201 S. CHICAGO RD.
Second Line	:	SUITEB202
City	:	WARREN
State	:	MI
Zip	:	48093-5527
Country	:	US
Telephone Number	:	586-438-2100
Fax Number	:	586-582-1369

Provider Business Practice Location Address
First Line	:	31201 S. CHICAGO RD.
Second Line	:	SUITEB202
City	:	WARREN
State	:	MI
Zip	:	48093-5527
Country	:	US
Telephone Number	:	586-438-2100
Fax Number	:	586-582-1369

Authorized Official
Title or Position	:	OWNER PRESIDENT
Name	:	JOSE MANUEL
Credential	:
Telephone Number	:	586-438-2100

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	01/27/2010

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