MEDICARE: HOME SOLUTIONS HEALTHCARE 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	253Z00000X	In Home Supportive Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770183600
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME SOLUTIONS HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	8971 NW 13TH ST
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33322-4408
Country	:	US
Telephone Number	:	954-549-6640
Fax Number	:	954-342-1878

Provider Business Practice Location Address
First Line	:	8360 W OAKLAND PARK BLVD STE 1D
Second Line	:
City	:	SUNRISE
State	:	FL
Zip	:	33351-7332
Country	:	US
Telephone Number	:	954-549-6640
Fax Number	:	954-342-1878

Authorized Official
Title or Position	:	DIRECTOR OF NURSING
Name	:	MS. JUSTA VICTORIN
Credential	:	RN
Telephone Number	:	954-549-6640

Provider Enumeration Date	:	10/29/2020
Last Update Date	:	12/21/2023

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