MEDICARE: CHLOES SENIOR HOME CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1316822679
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHLOES SENIOR HOME CARE LLC

Provider Business Mailing Address
First Line	:	2505 GLENDALE DR
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-6131
Country	:	US
Telephone Number	:	561-385-8853
Fax Number	:

Provider Business Practice Location Address
First Line	:	5817 NW GERALD CIR
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34986-4168
Country	:	US
Telephone Number	:	561-385-8853
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. CLOMYNA VOLMY
Credential	:
Telephone Number	:	561-385-8853

Provider Enumeration Date	:	08/06/2025
Last Update Date	:	08/06/2025

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