MEDICARE: SUNREEF HOME CARE, 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

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	:	1770213985
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNREEF HOME CARE, LLC

Provider Business Mailing Address
First Line	:	4601 NW 77TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33166-6449
Country	:	US
Telephone Number	:	305-292-1292
Fax Number	:

Provider Business Practice Location Address
First Line	:	7771 W OAKLAND PARK BLVD STE 150
Second Line	:
City	:	SUNRISE
State	:	FL
Zip	:	33351-6705
Country	:	US
Telephone Number	:	954-507-8690
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	NESTOR PLANA
Credential	:
Telephone Number	:	305-262-1292

Provider Enumeration Date	:	06/13/2022
Last Update Date	:	03/12/2024

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