Provider Demographics
NPI:1275111510
Name:PALM CARE GROUP LLC
Entity Type:Organization
Organization Name:PALM CARE GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELIYAHU
Authorized Official - Middle Name:
Authorized Official - Last Name:WEISS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-290-1805
Mailing Address - Street 1:8411 W OAKLAND PARK BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-7357
Mailing Address - Country:US
Mailing Address - Phone:201-290-1805
Mailing Address - Fax:
Practice Address - Street 1:8411 W OAKLAND PARK BLVD STE 202
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-7357
Practice Address - Country:US
Practice Address - Phone:201-290-1805
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-30
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health