MEDICARE: HOME CARE ASSISTANCE OF PALM BEACH COUNTY

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	:	1902240799
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME CARE ASSISTANCE OF PALM BEACH COUNTY

Provider Business Mailing Address
First Line	:	142 ROSALIA CT
Second Line	:
City	:	JUPITER
State	:	FL
Zip	:	33478-5405
Country	:	US
Telephone Number	:	401-524-9476
Fax Number	:	561-429-8363

Provider Business Practice Location Address
First Line	:	1201 US HIGHWAY 1 STE 8
Second Line	:
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-3546
Country	:	US
Telephone Number	:	401-524-9476
Fax Number	:	561-429-8363

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BETHANN BROWN
Credential	:
Telephone Number	:	401-524-9476

Provider Enumeration Date	:	04/23/2013
Last Update Date	:	04/23/2013

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