Provider Demographics
NPI:1245072271
Name:SAINT SCRUBS LLC
Entity type:Organization
Organization Name:SAINT SCRUBS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:DALEXIS
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:561-618-1405
Mailing Address - Street 1:7079 CHESAPEAKE CIR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-8567
Mailing Address - Country:US
Mailing Address - Phone:561-618-1405
Mailing Address - Fax:
Practice Address - Street 1:2601 S MILITARY TRL STE 14
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33415-7509
Practice Address - Country:US
Practice Address - Phone:561-777-3001
Practice Address - Fax:561-247-7333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care