MEDICARE: ABSOLUTE HEART HOME CARE 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	251J00000X	Nursing Care Agency
2	3747A0650X	Attendant Care Provider

General Provider Information

NPI Number	:	1972355865
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABSOLUTE HEART HOME CARE LLC

Provider Business Mailing Address
First Line	:	12685 STARKEY RD STE 2
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33773-1421
Country	:	US
Telephone Number	:	754-242-9521
Fax Number	:	754-242-9929

Provider Business Practice Location Address
First Line	:	12685 STARKEY RD STE 2
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33773-1421
Country	:	US
Telephone Number	:	754-242-9521
Fax Number	:	754-242-9929

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ALBERTO FERNANDEZ
Credential	:
Telephone Number	:	754-242-9521

Provider Enumeration Date	:	04/03/2024
Last Update Date	:	04/30/2024

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Directions to “ABSOLUTE HEART HOME CARE LLC ” Practice Location

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