Provider Demographics
NPI:1336779149
Name:TRUSTED HOME CARE AGENCY SERVICES, LLC
Entity Type:Organization
Organization Name:TRUSTED HOME CARE AGENCY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PLANSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-441-4569
Mailing Address - Street 1:1200 S. ROGERS CIRCLE
Mailing Address - Street 2:SUITE #4
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487
Mailing Address - Country:US
Mailing Address - Phone:561-289-1447
Mailing Address - Fax:561-613-6212
Practice Address - Street 1:6750 N. ANDREWS AVE
Practice Address - Street 2:SUITE 2113
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309
Practice Address - Country:US
Practice Address - Phone:551-289-1447
Practice Address - Fax:561-613-6212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-21
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health