Professional Care Coordinators, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

234662 Issued in FL

Legal business name

PROFESSIONAL CARE COORDINATORS, LLC

Practice address

9112 Alternate A1A
Palm Beach Gardens, FL 33403-1451

Phone

(561) 557-4192

Fax

(561) 557-4192

NPI assigned

Feb 14, 2017

Organization subpart

No

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

Authorized official

Name

Nathanaelle Desrivieres

Title

Administrator

Phone

(561) 557-4192

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1235678947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9112 ALTERNATE A1A",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334031451",
            "telephone_number": "561-557-4192",
            "fax_number": "561-557-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9112 ALTERNATE A1A",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334031451",
            "telephone_number": "561-557-4192",
            "fax_number": "561-557-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL CARE COORDINATORS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "DESRIVIERES",
        "authorized_official_first_name": "NATHANAELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-557-4192"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "234662",
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.