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NPI Code Detail

MEDICARE: ACTIVE HOME HEALTH CARE SERVICES,LLC

MEDICARE: ACTIVE HOME HEALTH CARE 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
1251E00000XHome Health Agency299992941FL

General Provider Information

NPI Number : 1558541144
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACTIVE HOME HEALTH CARE SERVICES,LLC
Provider Business Mailing Address
First Line : 5589 OKEECHOBEE BLVD STE 105
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33417-4486
Country : US
Telephone Number : 561-968-5553
Fax Number : 561-300-2115
Provider Business Practice Location Address
First Line : 5589 OKEECHOBEE BLVD STE 105
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33417-4486
Country : US
Telephone Number : 561-968-5553
Fax Number : 561-300-2115
Authorized Official
Title or Position : CEO
Name : MR. CONRAD ZAGUIRRE
Credential :
Telephone Number : 561-968-5553
Provider Enumeration Date : 11/12/2007
Last Update Date : 06/28/2023

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Directions to “ACTIVE HOME HEALTH CARE SERVICES,LLC ” Practice Location

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