1154447100 NPI number — ANKOD INC

Table of content: (NPI 1154447100)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154447100 NPI number — ANKOD INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ANKOD 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:
1154447100
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/07/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 25511
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TAMARAC
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33320-5511
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-776-4110
Provider Business Mailing Address Fax Number:
954-776-4149

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4960 N PINE ISLAND RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAUDERHILL
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33351-5314
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-776-4110
Provider Business Practice Location Address Fax Number:
954-776-4149
Provider Enumeration Date:
03/21/2007

Additional Information

Authorized Official

Authorized Official Last Name:
OCCENAD
Authorized Official First Name:
MARGARETTE
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
954-776-4110

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  HHA299991447 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 251E00000X , with the licence number: HHA299993097 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 650966500 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 684715300 . This is a "MEDICAID WAIVER" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 230244 . This is a "HOME MAKER & COMPANION SERVICES" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 299993097 . This is a "HOME HEALTH AGENCY" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 685145296 . This is a "MEDICAID WAIVER" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 687960800 . This is a "MEDICAID WAIVER" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 299991447 . This is a "HOME HEALTH AGENCY" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com