Active NPI
Concierge Care of Palm Beach LLC
- In Home Supportive Care Agency
- Delray Beach, FL
National Provider Identifier
1568059319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- CONCIERGE CARE OF PALM BEACH LLC
- Practice address
- 4723 W Atlantic Ave Ste A4
Delray Beach, FL 33445-3895 - Phone
- (904) 534-1655
- NPI assigned
- Dec 28, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nancy Ralston
- Title
- Managing Partner
- Phone
- (904) 534-1655
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
4723 W Atlantic Ave Ste A4
Delray Beach, FL 33445-3895
Mailing address
6817 Southpoint Pkwy Ste 1004
Jacksonville, FL 32216-8201
Phone (904) 534-1655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000 | Other | FL | SENIOR CARE REFERRAL SERVICES |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Company | Direct |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609113600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662595200000",
"number": "1568059319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6817 SOUTHPOINT PKWY STE 1004",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322168201",
"telephone_number": "904-534-1655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4723 W ATLANTIC AVE STE A4",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334453895",
"telephone_number": "904-534-1655"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONCIERGE CARE OF PALM BEACH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-28",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"status": "A",
"authorized_official_last_name": "RALSTON",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "904-534-1655"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENIOR CARE REFERRAL SERVICES",
"identifier": "00000",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Company",
"affiliation": "N",
"endpointDescription": "Managed by Venture Point",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4723 W Atlantic Ave Ste A4",
"city": "Delray Beach",
"state": "FL",
"country_code": "US",
"postal_code": "334453895",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Delray Beach, FL
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.