Healthcare Provider Details

I. General information

NPI: 1639322563
Provider Name (Legal Business Name): WHITSYMS IN-HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2008
Last Update Date: 06/01/2025
Certification Date: 06/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6625 MIAMI LAKES DR STE 376
MIAMI LAKES FL
33014-2702
US

IV. Provider business mailing address

7280 W PALMETTO PARK RD STE 307N
BOCA RATON FL
33433-3401
US

V. Phone/Fax

Practice location:
  • Phone: 305-444-6640
  • Fax: 561-819-6620
Mailing address:
  • Phone: 561-808-8422
  • Fax: 888-534-4907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
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 TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LISA DAWN NEWMAN
Title or Position: COMPLIANCE DIRECTOR
Credential: RN
Phone: 407-284-7220