Concierge Home Care

LBN: Concierge Home Care Of Port Orange Llc
Concierge Home Care is an health care organization with primary practice located at 851 Dunlawton Ave Ste 201 , Port Orange FL 32127-4234. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Concierge Home Care Of Port Orange Llc can be contacted via phone (386) 257-6601, or through Young, Robert Gregory via phone (904) 733-1003.

Contact Information

Primary practice address
851 Dunlawton Ave Ste 201 Port Orange FL 32127-4234
Phone: (386) 257-6601
Fax: (833) 884-0077
Website:
Map and Directions
Authorized official contact:
Name: Young, Robert Gregory
Phone: (904) 733-1003

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1801494505
LBN Legal business name Concierge Home Care Of Port Orange Llc
DBA Doing business as Concierge Home Care
Authorized official Young, Robert Gregory
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2020
Last updated Dec 27th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801494505 NPPES
Florida Other 10D2219901 CLIA WAIVER
Florida Other 299995197 CLIA WAIVER

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