MEDICARE: ALTERNATIVE HOME CARE OF FLORIDA, LLC

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	:	1699447003
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTERNATIVE HOME CARE OF FLORIDA, LLC

Provider Business Mailing Address
First Line	:	1255 OAKMEAD PKWY
Second Line	:
City	:	SUNNYVALE
State	:	CA
Zip	:	94085-4040
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6981 W COMMERCIAL BLVD
Second Line	:
City	:	LAUDERHILL
State	:	FL
Zip	:	33319-2119
Country	:	US
Telephone Number	:	954-622-0588
Fax Number	:

Authorized Official
Title or Position	:	COMPLIANCE MANAGER
Name	:	SAMANTHA JARNOT
Credential	:
Telephone Number	:	619-539-9847

Provider Enumeration Date	:	10/04/2021
Last Update Date	:	10/06/2021

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