Healthcare Provider Details
I. General information
NPI: 1043917388
Provider Name (Legal Business Name): NAPAUL HOMECARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/07/2023
Last Update Date: 02/07/2023
Certification Date: 02/07/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3311 SW ROSSER BLVD
PORT ST LUCIE FL
34953-4722
US
IV. Provider business mailing address
3311 SW ROSSER BLVD
PORT ST LUCIE FL
34953-4722
US
V. Phone/Fax
- Phone: 772-361-3970
- Fax:
- Phone: 772-361-3970
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 372600000X |
| Taxonomy | Adult Companion |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385HR2065X |
| Taxonomy | Child Physical Disabilities Respite Care |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANIDE
NAPAUL
Title or Position: CEO
Credential: RN
Phone: 772-361-3970