Healthcare Provider Details

I. General information

NPI: 1932830239
Provider Name (Legal Business Name): KREYOL PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2022
Last Update Date: 08/31/2023
Certification Date: 08/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11903 SOUTHERN BLVD STE 108
ROYAL PALM BEACH FL
33411-7644
US

IV. Provider business mailing address

11903 SOUTHERN BLVD STE 108
ROYAL PALM BEACH FL
33411-7644
US

V. Phone/Fax

Practice location:
  • Phone: 561-793-1476
  • Fax: 561-793-1478
Mailing address:
  • Phone: 561-793-1476
  • Fax: 561-793-1478

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: ROSNY SIMEON
Title or Position: OWNER
Credential:
Phone: 786-426-4226