Healthcare Provider Details

I. General information

NPI: 1164378162
Provider Name (Legal Business Name): PISHON HOME CARE AGENCY CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2026
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

332 W BOYNTON BEACH BLVD STE 4
BOYNTON BEACH FL
33435-4065
US

IV. Provider business mailing address

PO BOX 222742
WEST PALM BEACH FL
33422-2742
US

V. Phone/Fax

Practice location:
  • Phone: 561-294-2669
  • Fax: 561-335-2100
Mailing address:
  • Phone: 561-294-2669
  • Fax: 561-335-2100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. HATTIE MARIE ROBERSON
Title or Position: CEO
Credential: ROBERSON
Phone: 561-294-2669