MEDICARE: DPS HOME HEALTH AGENCY, INC.

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	299993038	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	299993038	OTHER	FL	STATE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	HHA299993038	OTHER	FL	AHCA -DPSHHA900
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710157656
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DPS HOME HEALTH AGENCY, INC.

Provider Business Mailing Address
First Line	:	5725 CORPORATE WAY STE 201
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2038
Country	:	US
Telephone Number	:	561-337-4454
Fax Number	:	561-366-2491

Provider Business Practice Location Address
First Line	:	5725 CORPORATE WAY STE 201
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2038
Country	:	US
Telephone Number	:	561-337-4454
Fax Number	:	561-337-5027

Authorized Official
Title or Position	:	CHIEF LEGAL OFFICER
Name	:	MR. JOSEPH PATRICK BONACCORSI
Credential	:
Telephone Number	:	312-888-2922

Provider Enumeration Date	:	03/06/2008
Last Update Date	:	03/03/2026

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