Private Duty Home Health Services of the Palm Beaches LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

3689 Issued in FL

Legal business name

PRIVATE DUTY HOME HEALTH SERVICES OF THE PALM BEACHES LLC

Practice address

12798 W Forest Hill Blvd Ste
Suite 303
Wellington, FL 33414-4750

Phone

(561) 379-5934

NPI assigned

May 12, 2011

Last updated

Apr 2, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Yvette DarrisawNPI 1306149133

Title

Owner/Ceo

Phone

(561) 379-5934

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yvette Darrisaw

  • Home Health Aide
  • West Palm Beach, FL
  • NPI 1306149133
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1023300860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12798 FOREST HILL BLVD STE 303",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144704",
            "telephone_number": "561-379-5934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12798 W FOREST HILL BLVD STE",
            "address_2": "SUITE 303",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144750",
            "telephone_number": "561-379-5934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE DUTY HOME HEALTH SERVICES OF THE PALM BEACHES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-12",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "DARRISAW",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "561-379-5934",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "3689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Wellington, FL
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• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.