HCR Manor Care Services of Florida III, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

HCR MANOR CARE SERVICES OF FLORIDA III, LLC

Practice address

150 S Pine Island Rd Ste 540
Plantation, FL 33324-2667

Phone

(954) 467-7423

NPI assigned

Feb 16, 2022

Organization subpart

No

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

Authorized official

Name

Martin David Allen

Title

VP Reimbursement

Phone

(419) 252-5734

Specialties & licenses 1

Addresses

Other names 1

• ProMedica Hospice (Broward) Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• HCR Manor Care Services of Florida III, LLC

  • Community Based Hospice Care Agency
  • Plantation, FL
  • NPI 1669768594

  O20200807002050

  Same enrollment
• HCR Manor Care Services of Florida III, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Plantation, FL
  • NPI 1780327478

  O20200807002050

  Same enrollment

Locations

Practitioners 4

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

• Claudia Patricia Khan, FNP

  • Family Nurse Practitioner
  • Sunrise, FL
  • NPI 1598310591
  NPD
• Felicita Santiago-Suarez, ARNP

  • Nurse Practitioner
  • Plantation, FL
  • NPI 1366952640
  NPD
• Amber Jane Trudel, NP

  • Adult Health Nurse Practitioner
  • Plantation, FL
  • NPI 1467495614
  NPD
• Karen Lynn Severance, N.P.

  • Family Nurse Practitioner
  • Toledo, OH
  • NPI 1366772709
  NPD (past)

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1063167146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10086",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436990086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S PINE ISLAND RD STE 540",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242667",
            "telephone_number": "954-467-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HCR MANOR CARE SERVICES OF FLORIDA III, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "VP REIMBURSEMENT",
        "authorized_official_telephone_number": "419-252-5734"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProMedica Hospice (Broward)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Geraldine Hawkins, APRN
• Lachon Haynes, CAREGIVER
• Arlene E Haywood, M.D.
• Einbar Hazan
• Monica Lauren Hazien, OD
• HCR Manor Care Services of Florida III, LLC
• HCR Manor Care Services of Florida III, LLC
• Chong He, AP2713
• Head to Toe Posture & Rehab Center
• Headel Treatment Services

• Community Based Hospice Care Agency in Plantation, FL
• Providers in Plantation, FL by specialty
• Community Based Hospice Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.