Malibu Love & Care Healthcare Agency Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299992636 Issued in FL

Legal business name

MALIBU LOVE & CARE HEALTHCARE AGENCY INC

Practice address

1468 S Palm Ave
Pembroke Pines, FL 33025-5520

Phone

(954) 362-3831

Fax

(954) 362-3832

NPI assigned

Jun 27, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Rosemarie Nicholas

Title

Vice President

Phone

(954) 362-3831

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Tax ID family

Malibu Love Care Healthcare Agency Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Malibu Love&Care Health Care Agency

  • Developmentally Disabled Services Day Training Agency
  • Pembroke Pines, FL
  • NPI 1336514843
  NPD tax ID

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594425600000",
    "number": "1114124955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1468 S PALM AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330255520",
            "telephone_number": "954-362-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1468 S PALM AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330255520",
            "telephone_number": "954-362-3831",
            "fax_number": "954-362-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALIBU LOVE & CARE HEALTHCARE AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-07-11",
        "certification_date": "2020-07-11",
        "status": "A",
        "authorized_official_last_name": "NICHOLAS",
        "authorized_official_first_name": "ROSEMARIE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "954-362-3831",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101778500",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.malibuhha.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1468 S Palm Ave",
            "city": "Pembroke Pines",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330255520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ivette Maldonado Diaz, LMHC
• Francisco Javier Maldonado-Diaz
• Israel Maldonado Jr., D.C.
• Maria Fernanda Maldonado
• Marivelisse Maldonado
• Malibu Love&Care Health Care Agency
• Ryan Robert Malo, RN
• Andres Feliciano Mambuca, PSYD, MS, LMHC
• Fazeela Mamood
• Rhonuelle Joyce Manalastas, MD

• Home Health Agency in Pembroke Pines, FL
• Providers in Pembroke Pines, 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 Jul 11, 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.