Provider Demographics
NPI:1801224324
Name:HADLEY'S HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:HADLEY'S HOME HEALTH SERVICES LLC
Other - Org Name:HOME HELPERS OF THE TREASURE COAST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:BETTENCOURT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-834-8695
Mailing Address - Street 1:2695 SW DOMINA ROAD
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-2778
Mailing Address - Country:US
Mailing Address - Phone:772-340-2299
Mailing Address - Fax:772-879-1636
Practice Address - Street 1:2695 SW DOMINA ROAD
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34953-2778
Practice Address - Country:US
Practice Address - Phone:772-340-2299
Practice Address - Fax:772-879-1636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-18
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
FL299994285251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health