MEDICARE: ALLIED HOME HEALTH 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

General Provider Information

NPI Number	:	1811282080
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIED HOME HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	1275 W 47TH PL
Second Line	:	SUITE 426
City	:	HIALEAH
State	:	FL
Zip	:	33012-3394
Country	:	US
Telephone Number	:	305-771-1178
Fax Number	:

Provider Business Practice Location Address
First Line	:	1275 W 47TH PL
Second Line	:	SUITE 426
City	:	HIALEAH
State	:	FL
Zip	:	33012-3394
Country	:	US
Telephone Number	:	305-771-1178
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MARIYA RUDINSKAYA
Credential	:
Telephone Number	:	305-771-1178

Provider Enumeration Date	:	06/15/2011
Last Update Date	:	04/06/2012

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