MEDICARE: SAINT MARY 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	253Z00000X	In Home Supportive Care Agency	233306	FL

General Provider Information

NPI Number	:	1710315163
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAINT MARY HOME CARE, INC

Provider Business Mailing Address
First Line	:	1951 TARRAGON LN
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34655-4160
Country	:	US
Telephone Number	:	714-356-8759
Fax Number	:

Provider Business Practice Location Address
First Line	:	1951 TARRAGON LN
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34655-4160
Country	:	US
Telephone Number	:	714-356-8759
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MERIAM GUIRGUIS
Credential	:
Telephone Number	:	714-356-8759

Provider Enumeration Date	:	10/22/2013
Last Update Date	:	10/22/2013

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