Healthcare Provider Details

I. General information

NPI: 1245072271
Provider Name (Legal Business Name): SAINT SCRUBS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2024
Last Update Date: 06/11/2024
Certification Date: 06/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 S MILITARY TRL STE 14
WEST PALM BEACH FL
33415-7509
US

IV. Provider business mailing address

7079 CHESAPEAKE CIR
BOYNTON BEACH FL
33436-8567
US

V. Phone/Fax

Practice location:
  • Phone: 561-777-3001
  • Fax: 561-247-7333
Mailing address:
  • Phone: 561-618-1405
  • Fax:

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 Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MS. SAMANTHA DALEXIS SMITH
Title or Position: CEO
Credential: RN
Phone: 561-618-1405