# IMAGINE HOMEMAKER AND COMPANIONS SERVICE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942149489
- **Authorized official:** MICAEL ST LOUIS (MANAGER)
- **Authorized official phone:** (772) 240-6169

## Contact information

- **Practice address:** 410 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34984-5104
- **Practice address phone:** (772) 240-6169
- **Mailing address:** 410 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34984-5104
- **Mailing address phone:** (772) 240-6169

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/27/2026
- **Last updated:** 10/01/2026