Healthcare Provider Details

I. General information

NPI: 1467968248
Provider Name (Legal Business Name): EPIONE HOME HELPERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2017
Last Update Date: 07/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1112 JENNIFER TER
PORT SAINT LUCIE FL
34953
US

IV. Provider business mailing address

1112 JENNIFER TER
PORT SAINT LUCIE FL
34953
US

V. Phone/Fax

Practice location:
  • Phone: 561-839-0696
  • Fax:
Mailing address:
  • Phone: 561-839-0696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: METUSHELA NICOLAS
Title or Position: MANAGER
Credential:
Phone: 772-418-0554