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NPI Code Detail

MEDICARE: VILLAGE HOME CARE OF THE PALM BEACHES, LLC

MEDICARE: VILLAGE HOME CARE OF THE PALM BEACHES, 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 Agency

General Provider Information

NPI Number : 1689619298
Entity Type Code : Organization
Provider Name (Legal Business Name) : VILLAGE HOME CARE OF THE PALM BEACHES, LLC
Provider Business Mailing Address
First Line : 1269 E SILVER SPRINGS BLVD
Second Line :
City : OCALA
State : FL
Zip : 34470-6805
Country : US
Telephone Number : 352-873-8300
Fax Number : 352-368-9887
Provider Business Practice Location Address
First Line : 1500 GATEWAY BLVD STE 220
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33426-7233
Country : US
Telephone Number : 561-499-1335
Fax Number : 888-301-3144
Authorized Official
Title or Position : CEO
Name : JOY L RODAK
Credential :
Telephone Number : 561-499-1335
Provider Enumeration Date : 06/18/2006
Last Update Date : 02/03/2025

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