Healthcare Provider Details

I. General information

NPI: 1346863313
Provider Name (Legal Business Name): HEART OF COMPASSION HOME HEALTH AGENCY OF FLORIDA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2020
Last Update Date: 11/27/2022
Certification Date: 11/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 NORTHPOINT PKWY STE 74
WEST PALM BEACH FL
33407-1812
US

IV. Provider business mailing address

4725 HOLLY LAKE DR
LAKE WORTH FL
33463-5374
US

V. Phone/Fax

Practice location:
  • Phone: 561-619-0796
  • Fax: 561-914-8727
Mailing address:
  • Phone: 561-822-3981
  • Fax: 561-914-8727

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: TARANEISHEA BROWN
Title or Position: PRESIDENT
Credential:
Phone: 561-619-0796