Provider Demographics
NPI:1689551731
Name:NURSECARE ONE LLC
Entity type:Organization
Organization Name:NURSECARE ONE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JACINTA
Authorized Official - Middle Name:DOROTHY
Authorized Official - Last Name:NOBOA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-629-0459
Mailing Address - Street 1:4414 NORTHLAKE BLVD
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-6256
Mailing Address - Country:US
Mailing Address - Phone:561-629-0459
Mailing Address - Fax:
Practice Address - Street 1:4414 NORTHLAKE BLVD
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-6256
Practice Address - Country:US
Practice Address - Phone:561-629-0459
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-20
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service