Provider Demographics
NPI:1518178862
Name:ELDERCARE AT HOME, INC.
Entity Type:Organization
Organization Name:ELDERCARE AT HOME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELAYNE
Authorized Official - Middle Name:FIORELLA
Authorized Official - Last Name:FORGIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-585-0400
Mailing Address - Street 1:2328 10TH AVE N #601
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33461-6615
Mailing Address - Country:US
Mailing Address - Phone:561-585-0400
Mailing Address - Fax:561-585-0399
Practice Address - Street 1:2328 10TH AVE N #601
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33461-6615
Practice Address - Country:US
Practice Address - Phone:561-471-3122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2015-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30211002251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health