Organization Active NPI

Palm Beach Professional Home Care

  • Home Health Agency
  • Delray Beach, FL
National Provider Identifier
1164712030
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PALM BEACH PROFESSIONAL HOME CARE
Practice address
100 E Linton Blvd
Suite # 118-B
Delray Beach, FL 33483-3341
Phone
(561) 693-5618
Fax
(561) 693-5618
NPI assigned
Apr 13, 2011
Last updated
Apr 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Authorized official

Name
Mr. Patrick Dunac
Title
Administrator
Phone
(561) 693-5618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

100 E Linton Blvd
Suite # 118-B
Delray Beach, FL 33483-3341

Mailing address

100 E Linton Blvd
Suite # 118-B
Delray Beach, FL 33483-3341
Phone (561) 693-5618

Other identifiers 1

IdentifierTypeStateIssuer
N/AOtherFLHOME HEALTH AGENCY LICENSE

National Provider Directory

National Provider Directory

Locations

100 E Linton Blvd
Ste 118B
Delray Beach, FL 33483
Phone (561) 693-5618

NPI Registry JSON

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1164712030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LINTON BLVD",
            "address_2": "SUITE # 118-B",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334833341",
            "telephone_number": "561-693-5618",
            "fax_number": "561-693-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LINTON BLVD",
            "address_2": "SUITE # 118-B",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334833341",
            "telephone_number": "561-693-5618",
            "fax_number": "561-693-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH PROFESSIONAL HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "DUNAC",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-693-5618",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH AGENCY LICENSE",
            "identifier": "N/A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.