Healthcare Provider Details

I. General information

NPI: 1720982770
Provider Name (Legal Business Name): FERVENT HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5885 BARBADOS WAY W
WEST PALM BEACH FL
33407-1713
US

IV. Provider business mailing address

5885 BARBADOS WAY W
WEST PALM BEACH FL
33407-1713
US

V. Phone/Fax

Practice location:
  • Phone: 561-316-7948
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number
License Number StateNULL

VIII. Authorized Official

Name: TENEISHA L CAVANAUGH
Title or Position: DIRECTOR OF NURSING
Credential:
Phone: 561-932-9911