Provider Demographics
NPI:1962272831
Name:PALM HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:PALM HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:STEPHANIE
Authorized Official - Last Name:LOWE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, MHA, CCM
Authorized Official - Phone:561-985-1079
Mailing Address - Street 1:5657 LAKE SHORE VILLAGE CIR
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33463-7384
Mailing Address - Country:US
Mailing Address - Phone:561-985-1079
Mailing Address - Fax:855-822-0441
Practice Address - Street 1:12361 80TH LN N
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33412-2930
Practice Address - Country:US
Practice Address - Phone:561-260-5762
Practice Address - Fax:855-822-0441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-03
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health