MEDICARE: IDEAL HOME COMPANION SERVICES, 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

General Provider Information

NPI Number	:	1336616820
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IDEAL HOME COMPANION SERVICES, LLC

Provider Business Mailing Address
First Line	:	224 DATURA ST STE 211
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-5630
Country	:	US
Telephone Number	:	561-566-5061
Fax Number	:

Provider Business Practice Location Address
First Line	:	224 DATURA ST STE 211
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-5630
Country	:	US
Telephone Number	:	561-566-5061
Fax Number	:

Authorized Official
Title or Position	:	OPERATIONS OFFICER
Name	:	PATRICIA PACAUD BREZAULT
Credential	:
Telephone Number	:	561-566-5061

Provider Enumeration Date	:	11/01/2018
Last Update Date	:	11/01/2018

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1013052737 — DR. MARVIN FRANKEL M.D.
Practice Location Address:

401 W MERITO PL
PALM SPRINGS, CA
92262-5630

Practice Phone: 760-325-5681
Practice Fax:

1235766221 — ROBERTO MONTLOUIS
Practice Location Address:

2407 ROYAL PALM DR
FORT PIERCE, FL
34982-5630

Practice Phone: 772-940-7592
Practice Fax:

1790114742 — MR. ROBERT THOMAS WEST
Practice Location Address:

5630 W ATLANTIC AVE , #107
DELRAY BEACH, FL
33484-8205

Practice Phone: 772-766-1728
Practice Fax:

1568022382 — MED PRO HOME HEALTH AND STAFFING LLC
Practice Location Address:

5601 VIRGINIA BEACH BLVD STE 102A
VIRGINIA BEACH, VA
23462-5630

Practice Phone: 757-541-7199
Practice Fax:

1568176147 — MR. KEVIN GRANT
Practice Location Address:

1152 E 1ST ST APT 108
LONG BEACH, CA
90802-5630

Practice Phone: 215-578-8596
Practice Fax:

Directions to “IDEAL HOME COMPANION SERVICES, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.