SOUTHEAST HOMECARE LLC NPI 1619102407

NPI Information

  • NPI: 1619102407
  • Provider Name: SOUTHEAST HOMECARE LLC
  • Classification: Home Health - 251E00000X
  • Entity Type: Organization
  • Doing Business As: SOUTHEAST HOMECARE
  • CLIA Number: 10D1046338
  • Address: 1200 NW 17TH AVE STE 10
    DELRAY BEACH, FL
    ZIP 33445
  • Phone: (561) 819-6400

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NPI Details

SOUTHEAST HOMECARE LLC is a home health in Delray Beach, FL. The provider is 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 organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. SOUTHEAST HOMECARE LLC NPI is 1619102407. The provider is registered as an organization entity type.
The provider Is Doing Business As Southeast Homecare.

The provider's business location address is:

1200 NW 17TH AVE STE 10
DELRAY BEACH, FL
ZIP 33445-512
Phone: (561) 819-6400
Fax: (561) 819-6401

The provider's authorized official is Linda Mendez .
The authorized official title is Chief Operating Officer and has the following contact phone number (844) 215-4264.

The CLIA number assigned to this NPI record is 10D1046338 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/21/2009 and was last updated on 9/18/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251E00000XHome HealthHHA299992181FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1108247OTHERFLORIDAMEDICARE PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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