Healthcare Provider Details

I. General information

NPI: 1710853650
Provider Name (Legal Business Name): NRL CAREGIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2025
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

714 WASHINGTON AVE
LAKE WORTH FL
33460-5553
US

IV. Provider business mailing address

714 WASHINGTON AVE
LAKE WORTH FL
33460-5553
US

V. Phone/Fax

Practice location:
  • Phone: 561-719-1059
  • Fax:
Mailing address:
  • Phone: 561-719-1059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: NIURKA RODRIGUEZ LOPEZ
Title or Position: PRESIDENT
Credential:
Phone: 561-719-1059