Provider Demographics
NPI:1720682263
Name:IRIS HOME HEALTH CARE AGENCY, LLC.
Entity Type:Organization
Organization Name:IRIS HOME HEALTH CARE AGENCY, LLC.
Other - Org Name:INDEPENDENCE HOMDE HEALTH OF PALM BEACH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-827-6353
Mailing Address - Street 1:2151 45TH ST
Mailing Address - Street 2:SUITE 308
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-2011
Mailing Address - Country:US
Mailing Address - Phone:561-927-0051
Mailing Address - Fax:561-431-0302
Practice Address - Street 1:2151 45TH ST
Practice Address - Street 2:SUITE 308
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2011
Practice Address - Country:US
Practice Address - Phone:561-927-0051
Practice Address - Fax:561-431-0302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-25
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health