NPIMap

Organization Active NPI

Chen Neighborhood Medical Centers of South Florida LLC

  • Non-Pharmacy Dispensing Site
  • Deerfield Beach, FL
National Provider Identifier
1114698305
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
CHEN NEIGHBORHOOD MEDICAL CENTERS OF SOUTH FLORIDA LLC
Practice address
1827 W Hillsboro Blvd
Deerfield Beach, FL 33442-1442
Phone
(954) 800-4054
Fax
(954) 654-7732
NPI assigned
Sep 27, 2021
Organization subpart
Yes
Parent organization
CHEN NEIGHBORHOOD MEDICAL CENTERS OF SOUTH FLORIDA LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Authorized official

Name
Mary Chen
Title
Executive Officer
Phone
(305) 628-6117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

1827 W Hillsboro Blvd
Deerfield Beach, FL 33442-1442

Mailing address

1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (305) 628-6117

Other names 1

  • Chen Senior Medical Center Deerfield Beach Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2243688Chen Senior Medical Center- Deerfield Beach1827 W Hillsboro Blvd, Deerfield Beach, FL 33442Certificate of waiverNov 21, 2027

National Provider Directory

National Provider Directory
Tax ID family
Dedicated Senior Medical Center of Florida LLC28 organizations share this tax ID, including this one
Part of
Chen Neighborhood Medical Lauderhill LLC

Other organizations with this tax ID 27

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

View all 27

Locations

1827 W Hillsboro Blvd
Deerfield Beach, FL 33442
Phone (954) 800-4054

Networks

  • HealthSun Health Plans Network

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634169600000",
    "number": "1114698305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "305-628-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 W HILLSBORO BLVD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334421442",
            "telephone_number": "954-800-4054",
            "fax_number": "954-654-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEN NEIGHBORHOOD MEDICAL CENTERS OF SOUTH FLORIDA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHEN NEIGHBORHOOD MEDICAL CENTERS OF SOUTH FLORIDA LLC",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "305-628-6117"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chen Senior Medical Center Deerfield Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.