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General NPI Number Information
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NPI Number | 1023981420
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Entity Type | Organization
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Legal Business Name | ADULT CARE SERVICE CORPORATION LLC
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Dates
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Enumeration Date | 09/24/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 13255 67TH ST N
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City | WEST PALM BEACH
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State | FL
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Zip | 33412
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Country | US
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Telephone | 954-278-2693
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Fax |
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Provider Business Mailing Address
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Address Line | 160 W CAMINO REAL UNIT 921
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City | BOCA RATON
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State | FL
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Zip | 33432-5942
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Country | US
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Telephone | 954-278-2693
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Fax |
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Authorized Official
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Title or Position | MGR
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Name | REGINALD COMPERE
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Credential |
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Telephone | 561-888-9262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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