Provider Demographics
NPI:1427933233
Name:NICMOY HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:NICMOY HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ILEENE
Authorized Official - Middle Name:N
Authorized Official - Last Name:PARKER-SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-465-7640
Mailing Address - Street 1:150 E PALMETTO PARK RD STE 800
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-4833
Mailing Address - Country:US
Mailing Address - Phone:561-465-7640
Mailing Address - Fax:954-206-5418
Practice Address - Street 1:150 E PALMETTO PARK RD
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-4827
Practice Address - Country:US
Practice Address - Phone:561-465-7640
Practice Address - Fax:954-206-5418
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NICMOY HOME CARE SERVICE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health