Healthcare Provider Details

I. General information

NPI: 1538353438
Provider Name (Legal Business Name): TOTAL HOME CARE PALM BEACH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2007
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1818 S AUSTRALIAN AVE STE 202
WEST PALM BEACH FL
33409-6447
US

IV. Provider business mailing address

1818 S AUSTRALIAN AVE STE 202
WEST PALM BEACH FL
33409-6447
US

V. Phone/Fax

Practice location:
  • Phone: 561-727-3400
  • Fax: 561-727-3434
Mailing address:
  • Phone: 561-727-3400
  • Fax: 561-727-3434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ANDY HERNANDEZ
Title or Position: CEO
Credential:
Phone: 786-317-3594