MEDICARE: K ELLE HOME HEALTH CARE 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
1	251E00000X	Home Health Agency

Other Identifiers

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

General Provider Information

NPI Number	:	1760195929
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	K ELLE HOME HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	5833 BOSQUE LN
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-2671
Country	:	US
Telephone Number	:	561-856-9429
Fax Number	:

Provider Business Practice Location Address
First Line	:	5833 BOSQUE LN
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-2671
Country	:	US
Telephone Number	:	561-856-9429
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KENDRA LATRICE FREEMAN
Credential	:	CNA
Telephone Number	:	561-856-9429

Provider Enumeration Date	:	01/03/2023
Last Update Date	:	02/10/2023

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Directions to “K ELLE HOME HEALTH CARE LLC ” Practice Location

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