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NPI Code Detail

MEDICARE: HOME NURSE CORP.

MEDICARE: HOME NURSE CORP.
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
1251E00000XHome Health AgencyHHA299991072FL

General Provider Information

NPI Number : 1619960341
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOME NURSE CORP.
Provider Business Mailing Address
First Line : 10850 SW 113TH PL
Second Line :
City : MIAMI
State : FL
Zip : 33176-3227
Country : US
Telephone Number : 305-275-2533
Fax Number : 305-270-7037
Provider Business Practice Location Address
First Line : 10850 SW 113TH PL
Second Line :
City : MIAMI
State : FL
Zip : 33176-3227
Country : US
Telephone Number : 305-275-2533
Fax Number : 305-270-7037
Authorized Official
Title or Position : ADMINISTRATOR/GENERAL MANAGER
Name : JULIO CESAR CHACON
Credential :
Telephone Number : 305-275-2533
Provider Enumeration Date : 08/29/2005
Last Update Date : 05/20/2009

Similar Medicare Providers

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1639197098 — DANIEL FIELDS MD
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1427104686 — DR. RICHARD CHANG M.D.
Practice Location Address:
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1528101920 — DR. LYNNE SCHETTINO M.ED., PH.D.
Practice Location Address:
10830 SW 113TH PL STE A
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1114062452 — MS. ELENA PLASENCIA LCSW
Practice Location Address:
10830 SW 113TH PLACE SUITE A
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Directions to “HOME NURSE CORP. ” Practice Location

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