MEDICARE: M.A.R.G. HOME HEALTH CARE, 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	251E00000X	Home Health Agency	299992816	FL

General Provider Information

NPI Number	:	1598954778
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M.A.R.G. HOME HEALTH CARE, LLC.

Provider Business Mailing Address
First Line	:	2460 SW 137 AVE
Second Line	:	SUITE 240
City	:	MIAMI
State	:	FL
Zip	:	33175
Country	:	US
Telephone Number	:	305-271-3557
Fax Number	:	305-381-5052

Provider Business Practice Location Address
First Line	:	2460 SW 137TH AVE
Second Line	:	SUITE 240
City	:	MIAMI
State	:	FL
Zip	:	33175-8803
Country	:	US
Telephone Number	:	305-271-3557
Fax Number	:	305-381-5052

Authorized Official
Title or Position	:	MANAGER/ADMINISTRATOR
Name	:	MARISOL ALVAREZ LEON
Credential	:
Telephone Number	:	305-271-3557

Provider Enumeration Date	:	10/23/2007
Last Update Date	:	02/27/2013

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