MEDICARE: PRIVATUS CARE SOLUTIONS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	251J00000X	Nursing Care Agency
3	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1548247034
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIVATUS CARE SOLUTIONS, INC.

Provider Business Mailing Address
First Line	:	7301A W PALMETTO PARK RD STE 206B
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33433-3466
Country	:	US
Telephone Number	:	617-270-4050
Fax Number	:	781-270-5400

Provider Business Practice Location Address
First Line	:	7301A W PALMETTO PARK RD STE 206B
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33433-3466
Country	:	US
Telephone Number	:	617-270-4050
Fax Number	:	781-270-5400

Authorized Official
Title or Position	:	CEO
Name	:	MR. WILLIAM MULLETT
Credential	:
Telephone Number	:	617-275-4050

Provider Enumeration Date	:	12/27/2005
Last Update Date	:	05/03/2021

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