Provider Demographics
NPI:1225503113
Name:HOME CARE ACCELERATED,LLC
Entity Type:Organization
Organization Name:HOME CARE ACCELERATED,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:KENNEDY
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:561-714-7332
Mailing Address - Street 1:901 SW MARTIN DOWNS BLVD STE 212
Mailing Address - Street 2:
Mailing Address - City:PALM CITY
Mailing Address - State:FL
Mailing Address - Zip Code:34990-2861
Mailing Address - Country:US
Mailing Address - Phone:561-714-7332
Mailing Address - Fax:561-658-0215
Practice Address - Street 1:901 SW MARTIN DOWNS BLVD STE 212
Practice Address - Street 2:
Practice Address - City:PALM CITY
Practice Address - State:FL
Practice Address - Zip Code:34990-2861
Practice Address - Country:US
Practice Address - Phone:561-714-7332
Practice Address - Fax:561-658-0215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-08
Last Update Date:2018-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Multi-Specialty