Healthcare Provider Details

I. General information

NPI: 1134064009
Provider Name (Legal Business Name): A&B HOMECARE COMPANION AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2240 W WOOLBRIGHT RD STE 351
BOYNTON BEACH FL
33426-6364
US

IV. Provider business mailing address

2240 W WOOLBRIGHT RD STE 351
BOYNTON BEACH FL
33426-6364
US

V. Phone/Fax

Practice location:
  • Phone: 561-461-7855
  • Fax: 561-828-8000
Mailing address:
  • Phone: 561-461-7855
  • Fax: 561-828-8000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SH0200X
TaxonomyHome Health Clinical Nurse Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ATANAZE D GABRIEL
Title or Position: OWNER
Credential:
Phone: 561-461-7855