Organization
CENTRAL CARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BIRGY BONNEGUE (ADMINISTRATOR/OWNER)
(561) 337-4338
Entity
Organization
Contact information
Practice address
2001 PALM BEACH LAKES BLVD STE 300D, WEST PALM BEACH, FL 33409-6515
(561) 337-4338
(561) 337-9025
Mailing address
2001 PALM BEACH LAKES BLVD STE 300D, WEST PALM BEACH, FL 33409-6515
(561) 337-4338
(561) 337-9025
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
235Z00000X
Speech-Language Pathologist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
229958
FL
251J00000X
Nursing Care Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
229958
FL
253Z00000X
In Home Supportive Care Agency
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023105000
—
FL
01
—
692710696
MED-WAVIER MEDICAID
FL
Enumeration date
08/24/2007
Last updated
10/22/2018
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