The Ican Multi Service Group LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

THE ICAN MULTI SERVICE GROUP LLC

Doing business as

Ican Healthcare Agency
Ican Homecare Agency
Ican Staffing Solutions

Practice address

3350 E Atlantic Blvd Ste 209
Pompano Beach, FL 33062-5743

Phone

(954) 258-3714

NPI assigned

Mar 30, 2021

Organization subpart

No

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

Authorized official

Name

Latrica M Chance, CNA FINIACE OFFICENPI 1487232799

Title

Owner

Phone

(954) 258-3714

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 3

• ICAN HEALTHCARE AGENCY Doing business as
• ICAN HOMECARE AGENCY Doing business as
• ICAN STAFFING SOLUTIONS Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Latrica M Chance, CNA MED TECH CARGIV

  • Home Health Aide
  • Pompano Beach, FL
  • NPI 1487232799
  NPD Authorized official

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1003494311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 NE 6TH ST UNIT 2324",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330612614",
            "telephone_number": "954-951-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 E ATLANTIC BLVD STE 209",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330625743",
            "telephone_number": "954-258-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ICAN MULTI SERVICE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "CHANCE",
        "authorized_official_first_name": "LATRICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-258-3714",
        "authorized_official_credential": "CNA FINIACE OFFICE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110775100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ICAN HEALTHCARE AGENCY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ICAN HOMECARE AGENCY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ICAN STAFFING SOLUTIONS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Pompano Beach, FL
• Providers in Pompano Beach, 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 May 11, 2022; 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.