Healthcare Provider Details

I. General information

NPI: 1942133640
Provider Name (Legal Business Name): PALM ROYAL HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

2154 TRADE CENTER WAY STE 2
NAPLES FL
34109-2041
US

IV. Provider business mailing address

515 9TH ST SW
NAPLES FL
34117-2166
US

V. Phone/Fax

Practice location:
  • Phone: 720-975-7247
  • Fax:
Mailing address:
  • Phone: 720-975-7247
  • Fax:

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: BROOKLYN FOSTER
Title or Position: CEO
Credential:
Phone: 720-975-7247