Healthcare Provider Details

I. General information

NPI: 1063303790
Provider Name (Legal Business Name): AMITY HEALTH GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2025
Last Update Date: 07/11/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

433 PLAZA REAL STE 275
BOCA RATON FL
33432-3999
US

IV. Provider business mailing address

6901 OKEECHOBEE BLVD STE D5
WEST PALM BEACH FL
33411-2517
US

V. Phone/Fax

Practice location:
  • Phone: 561-556-8077
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: GWENDOLYN VILLANUEVA
Title or Position: OWNER
Credential:
Phone: 561-556-8077