TRC Care Inc.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

06000097 Issued in FL

Legal business name

TRC CARE INC.

Practice address

1151 Park Dr
Fort Lauderdale, FL 33312-7341

Phone

(954) 793-3379

Fax

(954) 530-6179

NPI assigned

Feb 14, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Tashanna Caldwell

Title

Administrator

Phone

(954) 793-3379

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1083882872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 PARK DR",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333127341",
            "telephone_number": "954-793-3379",
            "fax_number": "954-530-6179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 PARK DR",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333127341",
            "telephone_number": "954-793-3379",
            "fax_number": "954-530-6179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRC CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "TASHANNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-793-3379",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "06000097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.