Healthcare Provider Details

I. General information

NPI: 1073353900
Provider Name (Legal Business Name): ARDEN HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2024
Last Update Date: 05/29/2024
Certification Date: 05/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 PGA BLVD STE 4440
PALM BEACH GARDENS FL
33408-2738
US

IV. Provider business mailing address

2000 PGA BLVD STE 4440
PALM BEACH GARDENS FL
33408-2738
US

V. Phone/Fax

Practice location:
  • Phone: 561-252-5096
  • Fax:
Mailing address:
  • Phone: 561-252-5096
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: JEREMY ROBERTS
Title or Position: OWNER
Credential:
Phone: 561-252-5096