MEDICARE: VISITING HOME HEALTH 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	HHA21236096	FL

General Provider Information

NPI Number	:	1699778647
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISITING HOME HEALTH SERVICES, INC

Provider Business Mailing Address
First Line	:	3001 KEITH ST NW
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37312-3713
Country	:	US
Telephone Number	:	423-473-5256
Fax Number	:	423-559-8356

Provider Business Practice Location Address
First Line	:	4291 ROCK ISLAND RD
Second Line	:
City	:	LAUDERHILL
State	:	FL
Zip	:	33319-4509
Country	:	US
Telephone Number	:	954-462-5582
Fax Number	:	954-382-4316

Authorized Official
Title or Position	:	VP OF FINANCE
Name	:	PAM RAU
Credential	:
Telephone Number	:	423-473-5268

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	04/04/2011

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