Provider Demographics
NPI:1508455312
Name:WELCOME HOME HEALTH LLC
Entity Type:Organization
Organization Name:WELCOME HOME HEALTH LLC
Other - Org Name:WELCOME HOME HEALTH LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CLERMONT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:561-246-0809
Mailing Address - Street 1:8616 WHITE CAY
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-5545
Mailing Address - Country:US
Mailing Address - Phone:561-246-0809
Mailing Address - Fax:561-530-2023
Practice Address - Street 1:2000 N FLORIDA MANGO RD STE 207
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-6443
Practice Address - Country:US
Practice Address - Phone:561-246-0809
Practice Address - Fax:561-530-2023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-15
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesGroup - Multi-Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty