Healthcare Provider Details
I. General information
NPI: 1285998096
Provider Name (Legal Business Name): ALZHEIMER'S COMMUNITY CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/26/2012
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2924 N AUSTRALIAN AVE
WEST PALM BEACH FL
33407-4527
US
IV. Provider business mailing address
1615 FORUM PL FL 5
WEST PALM BEACH FL
33401-2320
US
V. Phone/Fax
- Phone: 561-331-6573
- Fax: 561-855-7859
- Phone: 561-683-2700
- Fax: 561-683-7600
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3747A0650X |
| Taxonomy | Attendant Care Provider |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
FRANKLIN
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 561-683-2700