Organization · NPI-2
Aurora Home Healthcare LLC
Home Health · Port St Lucie, FL
NPI number1780257261
StatusActive
Last updated in NPPESJan 9, 2025
Details
- NPI
- 1780257261
- Entity type
- Organization (NPI-2)
- Legal business name
- Aurora Home Healthcare LLC
- Organization subpart
- No
- Enumeration date
- Jul 21, 2021
- Certification date
- Jan 9, 2025
- Last updated
- Jan 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
| 163W00000X | Registered Nurse | – | – | |
| 253Z00000X | In Home Supportive Care | – | – | |
| 3747P1801X | Technician, Personal Care Attendant | – | – |
Practice location
1844 Se Port St Lucie BlvdPort St Lucie, FL 34952-5545
Phone 772-418-7699
Mailing address
1914 Se Yacht TerPort St Lucie, FL 34983-4520
Phone 772-418-7699
Authorized official
Brenda Holmes
Director Of Nursing
7724187699
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