MEDICARE: ARC HOME CARE PLUS

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	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1841372901
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARC HOME CARE PLUS

Provider Business Mailing Address
First Line	:	4445 W 16TH AVE STE 605
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-2961
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4445 W 16TH AVE STE 605
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-2961
Country	:	US
Telephone Number	:	305-231-8009
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	FIDEL QUINTANA
Credential	:
Telephone Number	:	305-231-8009

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	08/22/2020

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Directions to “ARC HOME CARE PLUS ” Practice Location

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