Provider Demographics
NPI:1770041303
Name:HELPCARE PRIVATE DUTY SERVICES LLC
Entity Type:Organization
Organization Name:HELPCARE PRIVATE DUTY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-626-9129
Mailing Address - Street 1:850 SW DUNCAN TER
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-1961
Mailing Address - Country:US
Mailing Address - Phone:772-626-9129
Mailing Address - Fax:772-249-4214
Practice Address - Street 1:850 SW DUNCAN TER
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34953-1961
Practice Address - Country:US
Practice Address - Phone:772-249-4214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-02
Last Update Date:2019-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care