Healthcare Provider Details

I. General information

NPI: 1053505784
Provider Name (Legal Business Name): ALL PROFESSIONAL HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2007
Last Update Date: 03/01/2022
Certification Date: 03/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 WESTON RD STE 401
WESTON FL
33326-1171
US

IV. Provider business mailing address

23 MAIN ST STE D-1
HOLMDEL NJ
07733-2136
US

V. Phone/Fax

Practice location:
  • Phone: 954-578-4998
  • Fax:
Mailing address:
  • Phone: 732-224-6914
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number21385096
License Number StateFL

VIII. Authorized Official

Name: DR. STEVEN LANDERS
Title or Position: DIRECTOR
Credential:
Phone: 732-224-6914