MEDICARE: SMARTCARE 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1811708878
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMARTCARE HOME CARE LLC.

Provider Business Mailing Address
First Line	:	9717 HIGHLAND RIDGE DR
Second Line	:
City	:	HUDSON
State	:	FL
Zip	:	34667-4247
Country	:	US
Telephone Number	:	352-217-0074
Fax Number	:

Provider Business Practice Location Address
First Line	:	9717 HIGHLAND RIDGE DR
Second Line	:
City	:	HUDSON
State	:	FL
Zip	:	34667-4247
Country	:	US
Telephone Number	:	352-217-0074
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHAUNTA PATRICIA WALTERS
Credential	:
Telephone Number	:	352-217-0074

Provider Enumeration Date	:	01/17/2025
Last Update Date	:	01/17/2025

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