Provider Demographics
NPI:1508060922
Name:PALM PARADISE HOME HEALTH L.L.C
Entity Type:Organization
Organization Name:PALM PARADISE HOME HEALTH L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSES
Authorized Official - Prefix:MRS
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:ANNETTE
Authorized Official - Last Name:DE LEON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-583-4428
Mailing Address - Street 1:309 W NOLANA ST
Mailing Address - Street 2:SUITE 1-E
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2583
Mailing Address - Country:US
Mailing Address - Phone:956-631-0320
Mailing Address - Fax:956-631-0324
Practice Address - Street 1:309 W NOLANA ST
Practice Address - Street 2:SUITE 1-E
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2583
Practice Address - Country:US
Practice Address - Phone:956-631-0320
Practice Address - Fax:956-631-0324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health