MEDICARE: NURSE ONE HOME HEALTH 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1730422007
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NURSE ONE HOME HEALTH LLC

Provider Business Mailing Address
First Line	:	219 SE 23RD AVE
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33435-7619
Country	:	US
Telephone Number	:	561-988-0606
Fax Number	:	561-988-0607

Provider Business Practice Location Address
First Line	:	219 SE 23RD AVE
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33435-7619
Country	:	US
Telephone Number	:	561-988-0606
Fax Number	:	561-988-0607

Authorized Official
Title or Position	:	CEO
Name	:	MR. MATTHEW ALAN GOLDBERG
Credential	:
Telephone Number	:	561-988-0606

Provider Enumeration Date	:	04/04/2013
Last Update Date	:	01/12/2023

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