MEDICARE: HI TECH 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	107660
2	251E00000X	Home Health Agency	HHA299991339	FL

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	:	1831192616
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HI TECH CARE INC.

Provider Business Mailing Address
First Line	:	3854 AMERICAN WAY
Second Line	:	SUITE A
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-4896
Country	:	US
Telephone Number	:	225-292-2031
Fax Number	:	225-295-9678

Provider Business Practice Location Address
First Line	:	940 CENTRE CIRCLE
Second Line	:	SUITE 3006
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-7243
Country	:	US
Telephone Number	:	407-464-0194
Fax Number	:	407-464-0327

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PAUL KUSSEROW
Credential	:
Telephone Number	:	225-292-2031

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	04/05/2017

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Directions to “HI TECH CARE INC. ” Practice Location

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