Provider Demographics
NPI:1619511904
Name:PALM BEACH ELDER CARE LLC
Entity Type:Organization
Organization Name:PALM BEACH ELDER CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:MANOJ
Authorized Official - Middle Name:
Authorized Official - Last Name:BHATTARAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-489-2453
Mailing Address - Street 1:8953 CYPRESS GROVE LN
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-3725
Mailing Address - Country:US
Mailing Address - Phone:561-685-1522
Mailing Address - Fax:203-680-9243
Practice Address - Street 1:8953 CYPRESS GROVE LN
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-3725
Practice Address - Country:US
Practice Address - Phone:561-685-1522
Practice Address - Fax:203-680-9243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-30
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty