Healthcare Provider Details

I. General information

NPI: 1710157656
Provider Name (Legal Business Name): DPS HOME HEALTH AGENCY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2008
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2324 S CONGRESS AVE STE 2D
PALM SPRINGS FL
33406-7668
US

IV. Provider business mailing address

33 S STATE ST STE 500
CHICAGO IL
60603-2809
US

V. Phone/Fax

Practice location:
  • Phone: 561-337-4454
  • Fax: 561-337-5027
Mailing address:
  • Phone: 312-762-9999
  • Fax: 561-366-2491

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number299993038
License Number StateFL

VIII. Authorized Official

Name: MR. JOSEPH PATRICK BONACCORSI
Title or Position: CHIEF LEGAL OFFICER
Credential:
Phone: 312-888-2922