MEDICARE: ARCANGEL HOME CARE AGENCY , 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	:	1891137741
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARCANGEL HOME CARE AGENCY , INC

Provider Business Mailing Address
First Line	:	1452 N KROME AVE
Second Line	:	SUITE 102 G
City	:	FLORIDA CITY
State	:	FL
Zip	:	33034-2440
Country	:	US
Telephone Number	:	786-601-2130
Fax Number	:	786-601-2130

Provider Business Practice Location Address
First Line	:	1452 N KROME AVE
Second Line	:	SUITE 102 G
City	:	FLORIDA CITY
State	:	FL
Zip	:	33034-2440
Country	:	US
Telephone Number	:	786-601-2130
Fax Number	:	786-601-2130

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JORGE FELIX SOCARRAS
Credential	:
Telephone Number	:	786-601-2130

Provider Enumeration Date	:	07/20/2013
Last Update Date	:	07/20/2013

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