Healthcare Provider Details

I. General information

NPI: 1730642273
Provider Name (Legal Business Name): HARBORSIDE HOMECARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2019
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 VISTA PKWY # 282
WEST PALM BEACH FL
33411-2706
US

IV. Provider business mailing address

2101 VISTA PKWY # 282
WEST PALM BEACH FL
33411-2706
US

V. Phone/Fax

Practice location:
  • Phone: 561-277-6558
  • Fax: 561-516-7570
Mailing address:
  • Phone: 561-277-6558
  • Fax: 561-516-7570

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

VIII. Authorized Official

Name: JOANE THIMOTE
Title or Position: ASSISTANT ADMINISTRATOR/DON
Credential: APRN
Phone: 561-277-6558