MEDICARE: MYSPOT 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	:	1740002930
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MYSPOT HOME HEALTH, LLC.

Provider Business Mailing Address
First Line	:	1515 SUNSET DR STE 32
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33143-5803
Country	:	US
Telephone Number	:	833-543-7768
Fax Number	:	833-543-7768

Provider Business Practice Location Address
First Line	:	3045 N COMMERCE PKWY STE A
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33025-3927
Country	:	US
Telephone Number	:	833-543-7768
Fax Number	:	833-543-7768

Authorized Official
Title or Position	:	MBR
Name	:	MR. RAMON FALERO
Credential	:
Telephone Number	:	833-543-7768

Provider Enumeration Date	:	10/29/2024
Last Update Date	:	10/29/2024

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Directions to “MYSPOT HOME HEALTH, LLC. ” Practice Location

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