Provider Demographics
NPI:1407727357
Name:PALMADULTCARE.LLC
Entity type:Organization
Organization Name:PALMADULTCARE.LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE RAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:FERNANDEZ CARRALERO
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:561-713-8198
Mailing Address - Street 1:1100 VIA LUGANO CIR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-7187
Mailing Address - Country:US
Mailing Address - Phone:561-713-8198
Mailing Address - Fax:
Practice Address - Street 1:1100 VIA LUGANO CIR
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-7187
Practice Address - Country:US
Practice Address - Phone:561-713-8198
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty