MEDICARE: SAFE HOME HEALTH 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	HH19965241	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	HH19965241	OTHER	FL	HOME HEALTH AGENCY
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922119759
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAFE HOME HEALTH CARE AGENCY, INC.

Provider Business Mailing Address
First Line	:	2713 SW 142ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-8014
Country	:	US
Telephone Number	:	305-220-1351
Fax Number	:	305-220-1353

Provider Business Practice Location Address
First Line	:	2713 SW 142ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-8014
Country	:	US
Telephone Number	:	305-220-1351
Fax Number	:	305-220-1353

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MARIA E RUEDA
Credential	:
Telephone Number	:	305-220-1351

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	03/06/2009

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