Palm Shades Adult Home Care ,Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

AI11843 Issued in FL

Legal business name

PALM SHADES ADULT HOME CARE ,INC

Doing business as

Palm Shades Adult Home Care, Inc

Practice address

5702 Lincoln Cir E
Lake Worth, FL 33463-6757

Phone

(561) 964-8696

Fax

(561) 964-8606

NPI assigned

May 24, 2013

Organization subpart

Yes

Parent organization

VINORA BLAKEAs reported in NPPES

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

Authorized official

Name

Mrs. Pauline Araya

Title

Administrator

Phone

(561) 667-3711

Specialties & licenses 1

Addresses

Other names 1

• Palm Shades Adult Home Care, Inc Doing business as

Part of

Palm Shades Adult Home Care Inc

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369353600000",
    "number": "1902243405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5702 LINCOLN CIR E",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334636757",
            "telephone_number": "561-964-8606",
            "fax_number": "561-964-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5702 LINCOLN CIR E",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334636757",
            "telephone_number": "561-964-8696",
            "fax_number": "561-964-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM SHADES ADULT HOME CARE ,INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VINORA BLAKE",
        "enumeration_date": "2013-05-24",
        "last_updated": "2013-05-24",
        "status": "A",
        "authorized_official_last_name": "ARAYA",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-667-3711",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "AI11843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Shades Adult Home Care, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Palm Beach Speech Services LLC
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• Palm Beach Wellness Center LLC
• Palm Diagnostic Imaging Inc
• Palm Life Supportive Housing
• Palm Springs Internal Medicine
• Palms Dental Care PLLC
• Steven Panavelil
• Dhruti Pandya, MD
• Matthew Walter Panzica, PT, DPT

• Adult Day Care Clinic/Center in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Adult Day Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.