Broward Lifecare, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

232250 Issued in FL

Legal business name

BROWARD LIFECARE, LLC

Doing business as

BrightStar of Fort Lauderdale

Practice address

777 SE 20TH St Ste 255
Fort Lauderdale, FL 33316-3591

Phone

(774) 223-3459

Fax

(774) 223-3465

NPI assigned

Jul 15, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Angelo Sochuk, CSA

Title

President/Owner

Phone

(774) 223-3459

Specialties & licenses 1

Addresses

Other names 1

• BrightStar of Fort Lauderdale Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311120000000",
    "number": "1003104738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 SW 161ST LN",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274935",
            "telephone_number": "774-223-3459",
            "fax_number": "774-223-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 SE 20TH ST STE 255",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333163591",
            "telephone_number": "774-223-3459",
            "fax_number": "774-223-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD LIFECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-15",
        "last_updated": "2011-07-20",
        "status": "A",
        "authorized_official_last_name": "SOCHUK",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "774-223-3459",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CSA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "232250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightStar of Fort Lauderdale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.