Organization · Type 2 NPI

Concierge Home Care of Port Orange LLC

Home Health Agency · Port Orange, FL

NPI number 1801494505 Active

Practice location

851 Dunlawton Ave Ste 201
Port Orange, FL 32127-4234

Call (386) 257-6601 Map

Fax (833) 884-0077

Mailing address

4655 Salisbury Rd Ste 110
Jacksonville, FL 32256-0957

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	None listed

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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NPI record

NPI: 1801494505
Entity type: Organization (Type 2)
Issued: Oct 14, 2020
Last updated: Dec 27, 2023
Status: Active

Other names

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Concierge Home Care · doing business as
Concierge Home Care · doing business as

Authorized official

Mr. Robert Gregory Young
Secretary & Cao
(904) 733-1003

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1801494505

Concierge Home Care of Port Orange LLC's National Provider Identifier is 1801494505, issued on Oct 14, 2020. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Port Orange, FL. The record was last updated on Dec 27, 2023.