Healthcare Provider Details

I. General information

NPI: 1831732551
Provider Name (Legal Business Name): FIVE DRAGON PRINCESSES HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2019
Last Update Date: 10/15/2024
Certification Date: 10/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 ATLANTIC AVE
DELRAY BEACH FL
33446-1600
US

IV. Provider business mailing address

7000 ATLANTIC AVE
DELRAY BEACH FL
33446-1600
US

V. Phone/Fax

Practice location:
  • Phone: 561-910-1843
  • Fax: 561-910-1843
Mailing address:
  • Phone: 561-910-1843
  • Fax: 561-910-1843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: YUHUA NGUYEN
Title or Position: ADMINISTRATOR
Credential:
Phone: 561-910-1843