Provider Demographics
NPI:1255173324
Name:XENIA HOME HEALTH LLC
Entity type:Organization
Organization Name:XENIA HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MAGDALA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAINT HILAIRE
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:954-708-8703
Mailing Address - Street 1:440 E SAMPLE RD STE 201A
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-4438
Mailing Address - Country:US
Mailing Address - Phone:754-800-6111
Mailing Address - Fax:754-755-6610
Practice Address - Street 1:440 E SAMPLE RD STE 201A
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-4438
Practice Address - Country:US
Practice Address - Phone:754-800-6111
Practice Address - Fax:754-755-6610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-10
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health