CCN: 687294 NPI: 1346856416 Organization

IMMACULATE HOME HEALTH CARE LLC

1600 S DIXIE HWY STE 106
BOCA RATON, FL 334327463

Contact Information

Phone 9545313585
Fax 8552995825
Enumeration Date 2020-09-23
Last Updated 2023-12-26

Taxonomies

Code: 251E00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 48424

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 48424

providerType 36

specialPaymentIndicator

carrierCode 09102

localityCode 03