1023282415 NPI number — OUR CHILDREN OUR FUTURE, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023282415 NPI number — OUR CHILDREN OUR FUTURE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OUR CHILDREN OUR FUTURE, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023282415
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/24/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
450 N PARK RD
Provider Second Line Business Mailing Address:
SUITE 600
Provider Business Mailing Address City Name:
HOLLYWOOD
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33021-6917
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-929-7515
Provider Business Mailing Address Fax Number:
954-929-7510

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
450 N PARK RD
Provider Second Line Business Practice Location Address:
SUITE 600
Provider Business Practice Location Address City Name:
HOLLYWOOD
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33021-6917
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-929-7515
Provider Business Practice Location Address Fax Number:
954-929-7510
Provider Enumeration Date:
04/16/2008

Additional Information

Authorized Official

Authorized Official Last Name:
JAMES
Authorized Official First Name:
VERONICA
Authorized Official Middle Name:
V
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
954-929-7515

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 070921200 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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