Healthcare Provider Details

I. General information

NPI: 1326367681
Provider Name (Legal Business Name): PATIENT CARE HOME HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2010
Last Update Date: 10/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1489 W PALMETTO PARK RD SUITE NO 390
BOCA RATON FL
33486-3325
US

IV. Provider business mailing address

1489 W PALMETTO PARK RD SUITE NO 390
BOCA RATON FL
33486-3325
US

V. Phone/Fax

Practice location:
  • Phone: 561-372-7185
  • Fax: 561-372-7188
Mailing address:
  • Phone: 561-372-7185
  • Fax: 561-372-7188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number299993700
License Number StateFL

VIII. Authorized Official

Name: CARLOS F VALENCIA
Title or Position: MANAGER
Credential:
Phone: 786-299-0202