Provider Demographics
NPI:1730642273
Name:HARBORSIDE HOMECARE, INC.
Entity Type:Organization
Organization Name:HARBORSIDE HOMECARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT ADMINISTRATOR/DON
Authorized Official - Prefix:
Authorized Official - First Name:JOANE
Authorized Official - Middle Name:
Authorized Official - Last Name:THIMOTE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:561-277-6558
Mailing Address - Street 1:2101 VISTA PKWY # 282
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-2706
Mailing Address - Country:US
Mailing Address - Phone:561-277-6558
Mailing Address - Fax:561-516-7570
Practice Address - Street 1:2101 VISTA PKWY # 282
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-2706
Practice Address - Country:US
Practice Address - Phone:561-277-6558
Practice Address - Fax:561-516-7570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-11
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care