MEDICARE: CATALINA HOMEMAKER SERVICES

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1659740652
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CATALINA HOMEMAKER SERVICES

Provider Business Mailing Address
First Line	:	5891 S MILITARY TRL STE A4
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-6920
Country	:	US
Telephone Number	:	954-591-1025
Fax Number	:

Provider Business Practice Location Address
First Line	:	5891 S MILITARY TRL STE A4
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-6920
Country	:	US
Telephone Number	:	954-591-1025
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. USHINA PEREZ
Credential	:
Telephone Number	:	954-591-1025

Provider Enumeration Date	:	09/20/2015
Last Update Date	:	09/29/2015

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