MEDICARE: UNLIMITED HOME CARE

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	:	1619991395
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNLIMITED HOME CARE

Provider Business Mailing Address
First Line	:	342 E 9TH ST
Second Line	:	# 201
City	:	HIALEAH
State	:	FL
Zip	:	33010-4216
Country	:	US
Telephone Number	:	305-885-7421
Fax Number	:	305-885-7422

Provider Business Practice Location Address
First Line	:	342 E 9TH ST
Second Line	:	# 201
City	:	HIALEAH
State	:	FL
Zip	:	33010-4216
Country	:	US
Telephone Number	:	305-885-7421
Fax Number	:	305-885-7422

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. LORELL BERGOLLA
Credential	:	RN
Telephone Number	:	786-258-6214

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	03/10/2008

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