Healthcare Provider Details

I. General information

NPI: 1831897214
Provider Name (Legal Business Name): GOLDEN HORIZON RESPITE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2023
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2711 EXCHANGE CT STE A-1
WEST PALM BEACH FL
33409-4017
US

IV. Provider business mailing address

2711 EXCHANGE CT STE A-1
WEST PALM BEACH FL
33409-4017
US

V. Phone/Fax

Practice location:
  • Phone: 561-908-1291
  • Fax: 561-328-7931
Mailing address:
  • Phone: 561-574-1642
  • Fax: 561-786-5285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385HR2055X
TaxonomyChild Mental Illness Respite Care
License Number
License Number State

VIII. Authorized Official

Name: PETROS KOURACLES
Title or Position: GENERAL MANAGER
Credential:
Phone: 561-908-1291