MEDICARE: EFG HOME HEALTH, LLC

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
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1942913751
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EFG HOME HEALTH, LLC

Provider Business Mailing Address
First Line	:	7270 NW 12TH ST STE 700
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-1938
Country	:	US
Telephone Number	:	786-579-2540
Fax Number	:	305-676-6834

Provider Business Practice Location Address
First Line	:	10175 FORTUNE PKWY UNIT 202
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-6748
Country	:	US
Telephone Number	:	904-201-3566
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. REID GRIER
Credential	:
Telephone Number	:	786-579-2540

Provider Enumeration Date	:	12/27/2022
Last Update Date	:	01/19/2023

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Directions to “EFG HOME HEALTH, LLC ” Practice Location

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