MEDICARE: ALLCARE HEALTH & HUMAN SERVICES, 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

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	:	1821271024
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLCARE HEALTH & HUMAN SERVICES, INC

Provider Business Mailing Address
First Line	:	3364 SW CRESTVIEW RD
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34953-3538
Country	:	US
Telephone Number	:	772-785-5102
Fax Number	:	772-785-6090

Provider Business Practice Location Address
First Line	:	3364 SW CRESTVIEW RD
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34953-3538
Country	:	US
Telephone Number	:	772-785-5102
Fax Number	:	772-785-6090

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. PATRICIA I WILLIAMS
Credential	:
Telephone Number	:	772-785-5102

Provider Enumeration Date	:	12/11/2007
Last Update Date	:	12/11/2007

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