Extra Care for the Palm Beaches LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

EXTRA CARE FOR THE PALM BEACHES LLC

Practice address

1499 Forest Hill Blvd Ste 117
West Palm Beach, FL 33406-6050

Phone

(561) 870-3312

NPI assigned

Jun 30, 2021

Organization subpart

No

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

Authorized official

Name

Geralda Brown

Title

President/Alt Admin/Cfo

Phone

(561) 302-1150

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1609446798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 FOREST HILL BLVD STE 117",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334066050",
            "telephone_number": "561-870-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 FOREST HILL BLVD STE 117",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334066050",
            "telephone_number": "561-870-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTRA CARE FOR THE PALM BEACHES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "GERALDA",
        "authorized_official_title_or_position": "PRESIDENT/ALT ADMIN/CFO",
        "authorized_official_telephone_number": "561-302-1150"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.