Healthcare Provider Details
I. General information
NPI: 1659010353
Provider Name (Legal Business Name): VERTUS HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/01/2022
Last Update Date: 05/22/2024
Certification Date: 05/22/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2623 S SEACREST BLVD STE 206
BOYNTON BEACH FL
33435-7532
US
IV. Provider business mailing address
2623 S SEACREST BLVD STE 206
BOYNTON BEACH FL
33435-7532
US
V. Phone/Fax
- Phone: 561-704-3184
- Fax: 561-509-7071
- Phone: 561-704-3184
- Fax: 561-509-7071
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ELVENS
VERTUS
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 561-704-3184