Organization Active NPI

Equality Healthcare Inc

  • Developmental Disabilities Clinic/Center
  • Lauderhill, FL
National Provider Identifier
1093355745
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
EQUALITY HEALTHCARE INC
Practice address
4790 NW 85TH Ave
Lauderhill, FL 33351-5507
Phone
(954) 899-4921
NPI assigned
Jan 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Authorized official

Name
Sanji Dervil
Title
Ceo
Phone
(954) 899-4921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

4790 NW 85TH Ave
Lauderhill, FL 33351-5507

Mailing address

4790 NW 85TH Ave
Lauderhill, FL 33351-5507
Phone (954) 899-4921

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1093355745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4790 NW 85TH AVE",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333515507",
            "telephone_number": "954-899-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4790 NW 85TH AVE",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333515507",
            "telephone_number": "954-899-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUALITY HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "DERVIL",
        "authorized_official_first_name": "SANJI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-899-4921"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.