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NPI Code Detail

MEDICARE: IRIS HOME HEALTH CARE AGENCY, LLC.

MEDICARE: IRIS HOME HEALTH CARE AGENCY, 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

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720682263
Entity Type Code : Organization
Provider Name (Legal Business Name) : IRIS HOME HEALTH CARE AGENCY, LLC.
Provider Business Mailing Address
First Line : 2151 45TH ST
Second Line : SUITE 308
City : WEST PALM BEACH
State : FL
Zip : 33407-2011
Country : US
Telephone Number : 561-927-0051
Fax Number : 561-431-0302
Provider Business Practice Location Address
First Line : 2151 45TH ST
Second Line : SUITE 308
City : WEST PALM BEACH
State : FL
Zip : 33407-2011
Country : US
Telephone Number : 561-927-0051
Fax Number : 561-431-0302
Authorized Official
Title or Position : CFO
Name : MR. BRIAN BUTLER
Credential :
Telephone Number : 561-827-6353
Provider Enumeration Date : 11/25/2020
Last Update Date : 03/09/2023

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