Extended Care Nursing Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

30211497 Issued in FL

Legal business name

EXTENDED CARE NURSING SERVICES

Practice address

1903 S Congress Ave
#380
Boynton Beach, FL 33426-6548

Phone

(561) 737-4844

Fax

(561) 737-4854

NPI assigned

Oct 24, 2011

Last updated

Oct 24, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Daniel Andrew Benson

Title

President

Phone

(561) 737-4844

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1023394996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 S CONGRESS AVE",
            "address_2": "#380",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266548",
            "telephone_number": "561-737-4844",
            "fax_number": "561-737-4854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 S CONGRESS AVE",
            "address_2": "#380",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266548",
            "telephone_number": "561-737-4844",
            "fax_number": "561-737-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENDED CARE NURSING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-24",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-737-4844",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "FL",
            "license": "30211497",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "30211497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.