MEDICARE: NC DEVELOPMENT SERVICES 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		FL

General Provider Information

NPI Number	:	1689711285
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NC DEVELOPMENT SERVICES INC.

Provider Business Mailing Address
First Line	:	7466 NW 8TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-2913
Country	:	US
Telephone Number	:	305-266-4491
Fax Number	:	305-266-4469

Provider Business Practice Location Address
First Line	:	7466 NW 8TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-2913
Country	:	US
Telephone Number	:	305-266-4491
Fax Number	:	305-266-4469

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. CONSUELO MOCEGA
Credential	:
Telephone Number	:	305-266-4491

Provider Enumeration Date	:	01/31/2007
Last Update Date	:	08/22/2020

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