MEDICARE: HIGH-CLASS HOME 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

General Provider Information

NPI Number	:	1861708844
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIGH-CLASS HOME CARE INC

Provider Business Mailing Address
First Line	:	18350 NW 2ND AVE
Second Line	:	STE 612
City	:	MIAMI
State	:	FL
Zip	:	33169-4519
Country	:	US
Telephone Number	:	561-894-4002
Fax Number	:	561-894-4003

Provider Business Practice Location Address
First Line	:	18350 NW 2ND AVE
Second Line	:	STE 612
City	:	MIAMI
State	:	FL
Zip	:	33169-4519
Country	:	US
Telephone Number	:	561-894-4002
Fax Number	:	561-894-4003

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	NICLAS PIERRE
Credential	:
Telephone Number	:	561-894-4002

Provider Enumeration Date	:	08/27/2010
Last Update Date	:	08/27/2010

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