1437768116 NPI number — CARE FOR YOU MEDICAL CENTER MARGATE, LLC

Table of content: (NPI 1437768116)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437768116 NPI number — CARE FOR YOU MEDICAL CENTER MARGATE, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CARE FOR YOU MEDICAL CENTER MARGATE, LLC
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:
CARE FOR YOU MEDICAL CENTER, LLC
Provider Other Organization Name Type Code:
4
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:
1437768116
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/28/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5412 W ATLANTIC BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MARGATE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33063-5209
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-558-4717
Provider Business Mailing Address Fax Number:
954-827-8144

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5412 WEST ATLANTIC BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MARGATE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33063
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-558-4717
Provider Business Practice Location Address Fax Number:
954-558-4717
Provider Enumeration Date:
07/28/2020

Additional Information

Authorized Official

Authorized Official Last Name:
HODGE
Authorized Official First Name:
TANISHA
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
954-558-4717

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251T00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261QM1000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QP2300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QR1300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 302R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 305S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 110186900 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1730699307 . This is a "NPI" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 1063864767 . This is a "NPI" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 113893100 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1700411188 . This is a "NPI" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 111810400 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 115839500 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4440089 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 113893100 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com