Provider Demographics
NPI:1437865086
Name:INDEPENDENCE HOME HEALTH OF THE PALM BEACHES. LLC.
Entity Type:Organization
Organization Name:INDEPENDENCE HOME HEALTH OF THE PALM BEACHES. LLC.
Other - Org Name:INDEPENDENCE HOME HEALTH OF THE PALM BEACHES, LLC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-827-6353
Mailing Address - Street 1:2151 45TH ST STE 308
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-2011
Mailing Address - Country:US
Mailing Address - Phone:561-855-6963
Mailing Address - Fax:561-855-6970
Practice Address - Street 1:2151 45TH ST STE 308
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2011
Practice Address - Country:US
Practice Address - Phone:561-855-6963
Practice Address - Fax:561-855-6970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-26
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health