MEDICARE: GOOD 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	299992953	FL

General Provider Information

NPI Number	:	1700068046
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOOD HOME CARE INC

Provider Business Mailing Address
First Line	:	922 SW 82ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-4240
Country	:	US
Telephone Number	:	305-262-0341
Fax Number	:

Provider Business Practice Location Address
First Line	:	922 SW 82ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-4240
Country	:	US
Telephone Number	:	305-262-0341
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. LAZARO HERNANDEZ
Credential	:
Telephone Number	:	305-262-0341

Provider Enumeration Date	:	11/28/2007
Last Update Date	:	11/09/2011

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Directions to “GOOD HOME CARE INC ” Practice Location

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