Healthcare Provider Details

I. General information

NPI: 1023438595
Provider Name (Legal Business Name): CONCIERGE HOME HEALTH CARE OF THE PALM BEACHES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2014
Last Update Date: 04/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2875 S OCEAN BLVD 200
PALM BEACH FL
33480-5590
US

IV. Provider business mailing address

2875 S OCEAN BLVD 200
PALM BEACH FL
33480-5590
US

V. Phone/Fax

Practice location:
  • Phone: 561-588-2227
  • Fax:
Mailing address:
  • Phone: 561-588-2227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberNR 30211658
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberNR 30211658
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberNR 30211658
License Number StateFL

VIII. Authorized Official

Name: FRANCES CERICOLA
Title or Position: PRESIDENT
Credential:
Phone: 561-374-2593