MEDICARE: ATTENTIVE AT HOME CARE

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	:	1851936934
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATTENTIVE AT HOME CARE

Provider Business Mailing Address
First Line	:	1239 MOUNT VERNON ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32803-5417
Country	:	US
Telephone Number	:	407-285-9601
Fax Number	:

Provider Business Practice Location Address
First Line	:	1239 MOUNT VERNON ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32803-5417
Country	:	US
Telephone Number	:	407-285-9601
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ROSAURA CASTRO
Credential	:	ADM
Telephone Number	:	407-285-9601

Provider Enumeration Date	:	11/12/2019
Last Update Date	:	11/12/2019

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Directions to “ATTENTIVE AT HOME CARE ” Practice Location

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