Provider Demographics
NPI:1457973216
Name:TREASURE COAST HOMECARE SPECIALISTS, LLC
Entity type:Organization
Organization Name:TREASURE COAST HOMECARE SPECIALISTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRYSTAL
Authorized Official - Middle Name:L
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-532-5976
Mailing Address - Street 1:6544 ALEMENDRA
Mailing Address - Street 2:
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34951-4315
Mailing Address - Country:US
Mailing Address - Phone:863-532-5976
Mailing Address - Fax:772-492-4582
Practice Address - Street 1:424 GROVE ISLE CIR
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32962-8505
Practice Address - Country:US
Practice Address - Phone:863-532-5976
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-14
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health