1083048045 NPI number — WE CARE NURSE REGISTRY,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 1083048045 NPI number — WE CARE NURSE REGISTRY,INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WE CARE NURSE REGISTRY,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:
6
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:
1083048045
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/03/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
370 CAMINO GARDENS BLVD
Provider Second Line Business Mailing Address:
SUITE 213
Provider Business Mailing Address City Name:
BOCA RATON
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33432-5816
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
561-477-7741
Provider Business Mailing Address Fax Number:
561-477-7602

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
370 CAMINO GARDENS BLVD
Provider Second Line Business Practice Location Address:
SUITE 213
Provider Business Practice Location Address City Name:
BOCA RATON
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33432-5816
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-477-7741
Provider Business Practice Location Address Fax Number:
561-477-7602
Provider Enumeration Date:
08/27/2013

Additional Information

Authorized Official

Authorized Official Last Name:
SMITH
Authorized Official First Name:
VENORA
Authorized Official Middle Name:
MERELY
Authorized Official Title or Position:
ADMINISTRATOR/PRESIDENT
Authorized Official Telephone Number:
954-979-7634

Provider Taxonomy Codes

  • Taxonomy code: 253Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 105421700 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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