MEDICARE: BREVARD BEST 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	251E00000X	Home Health Agency	299993874	FL

General Provider Information

NPI Number	:	1780952341
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BREVARD BEST CARE, INC.

Provider Business Mailing Address
First Line	:	4640 LIPSCOMB ST NE
Second Line	:	SUITE # 6
City	:	PALM BAY
State	:	FL
Zip	:	32905-2986
Country	:	US
Telephone Number	:	321-728-2911
Fax Number	:	321-728-2912

Provider Business Practice Location Address
First Line	:	4640 LIPSCOMB ST NE
Second Line	:	SUITE # 6
City	:	PALM BAY
State	:	FL
Zip	:	32905-2986
Country	:	US
Telephone Number	:	321-728-2911
Fax Number	:	321-728-2912

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MARGARETTE ABELARD
Credential	:
Telephone Number	:	321-728-2911

Provider Enumeration Date	:	12/09/2011
Last Update Date	:	12/09/2011

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