Healthcare Provider Details
I. General information
NPI: 1083335582
Provider Name (Legal Business Name): NOT ALONE HOMECARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/05/2022
Last Update Date: 03/06/2024
Certification Date: 03/06/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
584 NW UNIVERSITY BLVD STE 705
PORT ST LUCIE FL
34986-1600
US
IV. Provider business mailing address
973 NW LEONARDO CIR
PORT SAINT LUCIE FL
34986-4351
US
V. Phone/Fax
- Phone: 561-541-2300
- Fax: 772-673-0290
- Phone: 722-202-8411
- 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 | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| 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 | |
VIII. Authorized Official
Name:
DIEUNADE
VOLMY
Title or Position: OWNER
Credential:
Phone: 561-541-2300