MEDICARE: MEDERI CARETENDERS VS OF BROWARD, 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	:	1720289358
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDERI CARETENDERS VS OF BROWARD, LLC

Provider Business Mailing Address
First Line	:	9510 ORMSBY STATION RD
Second Line	:	SUITE 300
City	:	LOUISVILLE
State	:	KY
Zip	:	40223-4081
Country	:	US
Telephone Number	:	502-891-1000
Fax Number	:	502-891-8067

Provider Business Practice Location Address
First Line	:	4723 W ATLANTIC AVE
Second Line	:	SUITE A13 & 14
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-3895
Country	:	US
Telephone Number	:	561-381-1077
Fax Number	:	561-496-0357

Authorized Official
Title or Position	:	SR. V.P., ADMINISTRATION
Name	:	MR. PATRICK TODD LYLES
Credential	:
Telephone Number	:	502-891-1044

Provider Enumeration Date	:	05/30/2007
Last Update Date	:	09/09/2008

Similar Medicare Providers

1154317204 — MEDERI OF PALM BEACH COUNTY, INC.
Practice Location Address:

4723 W ATLANTIC AVE , STE A14
DELRAY BEACH, FL
33445-3895

Practice Phone: 561-381-1077
Practice Fax: 561-496-0357

1902817398 — DR. ROSALIND L RICE PSY.D.
Practice Location Address:

4723 W ATLANTIC AVE , SUITE A-5
DELRAY BEACH, FL
33445-3895

Practice Phone: 561-350-5879
Practice Fax:

1689766248 — ASSOCIATION FOR COMMUNITY COUNSELING,INC.
Practice Location Address:

4723 W ATLANTIC AVE , SUITE A5
DELRAY BEACH, FL
33445-3895

Practice Phone: 561-638-0908
Practice Fax: 561-638-1115

1417142688 — FAMILY WELLNESS CENTERS INC
Practice Location Address:

4723 W ATLANTIC AVE , SUITE A-13
DELRAY BEACH, FL
33445-3895

Practice Phone: 561-498-1098
Practice Fax: 561-495-2524

1003096157 — BRAIN MATTERS INC
Practice Location Address:

4723 W ATLANTIC AVE # A-7
DELRAY BEACH, FL
33445-3895

Practice Phone: 561-374-8461
Practice Fax: 561-374-8463

1801298732 — DR. ASHTON BLAKE TYREE PT, DPT
Practice Location Address:

4723 W ATLANTIC AVE UNIT A22
DELRAY BEACH, FL
33445-3895

Practice Phone: 561-332-3472
Practice Fax:

Directions to “MEDERI CARETENDERS VS OF BROWARD, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.