Healthcare Provider Details

I. General information

NPI: 1023981420
Provider Name (Legal Business Name): ADULT CARE SERVICE CORPORATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2025
Last Update Date: 09/24/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13255 67TH ST N
WEST PALM BEACH FL
33412
US

IV. Provider business mailing address

160 W CAMINO REAL UNIT 921
BOCA RATON FL
33432-5942
US

V. Phone/Fax

Practice location:
  • Phone: 954-278-2693
  • Fax:
Mailing address:
  • Phone: 954-278-2693
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: REGINALD COMPERE
Title or Position: MGR
Credential:
Phone: 561-888-9262