# PORTORREAL HOME CARE AGENCY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Portorreal Home Care Agency, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568347854
- **Authorized official:** MRS. BETANIA FERMI PORTORREAL MBA (ADMINISTRATOR)
- **Authorized official phone:** (321) 697-2334

## Contact information

- **Practice address:** 103B BROADWAY STE 201, KISSIMMEE, FL 34741-5713
- **Practice address phone:** (718) 749-2993
- **Practice address fax:** (321) 219-8635
- **Mailing address:** 103B BROADWAY STE 201, KISSIMMEE, FL 34741-5713
- **Mailing address phone:** (718) 749-2993
- **Mailing address fax:** (321) 219-8635

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/07/2025
- **Last updated:** 09/08/2025