- Enrollment id
- O20120316000274
- Enrollment state
- FL
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1265545388
- Multiple npi flag
- N
- Ccn
- 107117
- Associate id
- 5890885289
- Organization name
- MED-CARE HOME HEALTH SERVICES, INC.
- Incorporation date
- 1988-01-04
- Incorporation state
- FL
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 780 NW 42ND AVE
- Address line 2
- STE 319
- City
- MIAMI
- State
- FL
- Zip code
- 331265536