Healthcare Provider Details

I. General information

NPI: 1497605760
Provider Name (Legal Business Name): PROFESSIONAL HOME HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2026
Last Update Date: 01/28/2026
Certification Date: 01/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 N FEDERAL HWY STE 208
BOCA RATON FL
33431-4527
US

IV. Provider business mailing address

4000 N FEDERAL HWY STE 208
BOCA RATON FL
33431-4527
US

V. Phone/Fax

Practice location:
  • Phone: 305-952-4601
  • Fax: 877-872-4314
Mailing address:
  • Phone: 305-952-4601
  • Fax: 877-872-4314

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: IRYNA CHUIEVA
Title or Position: ADMINISTRATOR
Credential:
Phone: 305-952-4601