Healthcare Provider Details

I. General information

NPI: 1689619298
Provider Name (Legal Business Name): VILLAGE HOME CARE OF THE PALM BEACHES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2006
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 GATEWAY BLVD STE 220
BOYNTON BEACH FL
33426-7233
US

IV. Provider business mailing address

1269 E SILVER SPRINGS BLVD
OCALA FL
34470-6805
US

V. Phone/Fax

Practice location:
  • Phone: 561-499-1335
  • Fax: 888-301-3144
Mailing address:
  • Phone: 352-873-8300
  • Fax: 352-368-9887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JOY L RODAK
Title or Position: CEO
Credential:
Phone: 561-499-1335