MEDICARE: ASA HOMECARE 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	:	1851398473
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASA HOMECARE INC

Provider Business Mailing Address
First Line	:	8700 W FLAGLER ST
Second Line	:	STE-110
City	:	MIAMI
State	:	FL
Zip	:	33174-2428
Country	:	US
Telephone Number	:	305-229-1400
Fax Number	:	305-229-1828

Provider Business Practice Location Address
First Line	:	8700 W FLAGLER ST
Second Line	:	STE-110
City	:	MIAMI
State	:	FL
Zip	:	33174-2428
Country	:	US
Telephone Number	:	305-229-1400
Fax Number	:	305-229-1828

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. DIEGO A JIMENEZ
Credential	:
Telephone Number	:	305-229-1400

Provider Enumeration Date	:	06/29/2005
Last Update Date	:	03/12/2008

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