Healthcare Provider Details

I. General information

NPI: 1891676789
Provider Name (Legal Business Name): ALTHEA NURSING SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2025
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 TAMIAMI TRL N STE 114
NAPLES FL
34103-4135
US

IV. Provider business mailing address

3076 EL CAMINO REAL
WEST PALM BCH FL
33409-7827
US

V. Phone/Fax

Practice location:
  • Phone: 561-916-8776
  • Fax: 561-228-0966
Mailing address:
  • Phone: 561-916-8776
  • Fax: 561-228-0966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MISS ALTHEA KAREN DIXON
Title or Position: RN
Credential: ADMINISTRATOR
Phone: 561-916-8776