MEDICARE: HOME HEALTH CARE OF THE PALM BEACHES II CORP

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	3747A0650X	Attendant Care Provider

General Provider Information

NPI Number	:	1700640455
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME HEALTH CARE OF THE PALM BEACHES II CORP

Provider Business Mailing Address
First Line	:	4460 CARVER ST STE 2
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33461-2713
Country	:	US
Telephone Number	:	561-410-5358
Fax Number	:	561-507-5659

Provider Business Practice Location Address
First Line	:	4460 CARVER ST STE 2
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33461-2713
Country	:	US
Telephone Number	:	561-410-5358
Fax Number	:	561-507-5659

Authorized Official
Title or Position	:	OWNER
Name	:	LEIDIANA DUARTE
Credential	:
Telephone Number	:	561-714-3290

Provider Enumeration Date	:	02/12/2024
Last Update Date	:	02/12/2024

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