MEDICARE: FATIMA HOME CARE, 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	299991118	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669432852
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FATIMA HOME CARE, INC.

Provider Business Mailing Address
First Line	:	1454 SW 1ST ST
Second Line	:	SUITE 120
City	:	MIAMI
State	:	FL
Zip	:	33135-2203
Country	:	US
Telephone Number	:	305-631-0029
Fax Number	:	305-541-9245

Provider Business Practice Location Address
First Line	:	1454 SW 1ST ST
Second Line	:	SUITE 120
City	:	MIAMI
State	:	FL
Zip	:	33135-2203
Country	:	US
Telephone Number	:	305-631-0029
Fax Number	:	305-541-9245

Authorized Official
Title or Position	:	ADMINSTRATOR
Name	:	ALICIA BARREIRO
Credential	:
Telephone Number	:	305-631-0029

Provider Enumeration Date	:	03/23/2006
Last Update Date	:	05/14/2012

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Directions to “FATIMA HOME CARE, INC. ” Practice Location

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