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General NPI Number Information
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NPI Number | 1336779149
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Entity Type | Organization
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Legal Business Name | TRUSTED HOME CARE AGENCY SERVICES, LLC
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Dates
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Enumeration Date | 01/21/2020
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Last Update Date | 11/19/2020
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Provider Practice Location Address
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Address Line | 6750 N. ANDREWS AVE SUITE 2113
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309
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Country | US
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Telephone | 551-289-1447
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Fax | 561-613-6212
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Provider Business Mailing Address
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Address Line | 1200 S. ROGERS CIRCLE SUITE #4
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City | BOCA RATON
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State | FL
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Zip | 33487
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Country | US
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Telephone | 561-289-1447
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Fax | 561-613-6212
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Authorized Official
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Title or Position | CFO
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Name | BRYAN PLANSKY
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Credential |
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Telephone | 561-441-4569
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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