Provider Demographics
NPI:1083790752
Name:PALM BEACH HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:PALM BEACH HOME HEALTH CARE, INC.
Other - Org Name:RELIANCE HOME HEALTH CARE, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:TONY
Authorized Official - Last Name:LIGETI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-687-7277
Mailing Address - Street 1:718 SW PORT ST LUCIE BLVD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-2689
Mailing Address - Country:US
Mailing Address - Phone:772-323-0012
Mailing Address - Fax:772-446-9667
Practice Address - Street 1:718 SW PORT ST LUCIE BLVD
Practice Address - Street 2:SUITE 2
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34953-2689
Practice Address - Country:US
Practice Address - Phone:772-323-0012
Practice Address - Fax:772-446-9667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992559251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health