MEDICARE: ONE-O-ONE PATIENT 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1700561438
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONE-O-ONE PATIENT CARE, LLC

Provider Business Mailing Address
First Line	:	1400 PINES LN
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-4770
Country	:	US
Telephone Number	:	561-396-4488
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 PINES LN
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-4770
Country	:	US
Telephone Number	:	561-396-4488
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	FRANCELAURE ANTOINE ESTHEMA
Credential	:
Telephone Number	:	561-396-4488

Provider Enumeration Date	:	06/20/2023
Last Update Date	:	06/20/2023

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