Healthcare Provider Details

I. General information

NPI: 1598336794
Provider Name (Legal Business Name): FIRST ALERT HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2021
Last Update Date: 08/17/2023
Certification Date: 08/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 CAMINO GARDENS BLVD STE 302
BOCA RATON FL
33432-5825
US

IV. Provider business mailing address

350 CAMINO GARDENS BLVD STE 302
BOCA RATON FL
33432-5825
US

V. Phone/Fax

Practice location:
  • Phone: 561-717-4987
  • Fax: 561-717-6948
Mailing address:
  • Phone: 561-717-4987
  • Fax: 561-717-6948

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 Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: CAROL LONGBRIDGE
Title or Position: P/ADMIN
Credential:
Phone: 954-934-8609