MEDICARE: ALL METRO HOME CARE SERVICES OF FLORIDA, 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		FL

General Provider Information

NPI Number	:	1942247853
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL METRO HOME CARE SERVICES OF FLORIDA, INC.

Provider Business Mailing Address
First Line	:	50 BROADWAY
Second Line	:
City	:	LYNBROOK
State	:	NY
Zip	:	11563-2519
Country	:	US
Telephone Number	:	516-750-9103
Fax Number	:	516-599-1041

Provider Business Practice Location Address
First Line	:	1402 SE 47TH ST
Second Line	:	UNIT 1
City	:	CAPE CORAL
State	:	FL
Zip	:	33904-9656
Country	:	US
Telephone Number	:	239-541-3033
Fax Number	:	239-541-7133

Authorized Official
Title or Position	:	CHAIRMAN, CEO AND PRESIDENT
Name	:	MR. SCOTT REDDING MIXER
Credential	:
Telephone Number	:	516-750-9103

Provider Enumeration Date	:	05/31/2006
Last Update Date	:	01/15/2008

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