West Broward Group, L.L.C. (Through 6/29/08)

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1028096 Issued in FL

Legal business name

WEST BROWARD GROUP, L.L.C. (THROUGH 6/29/08)

Doing business as

West Broward Care Center

Practice address

7751 W Broward Blvd
Plantation, FL 33324-2003

Phone

(954) 473-8040

Fax

(954) 473-0897

NPI assigned

Oct 4, 2005

Last updated

May 26, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nelson Robaina

Title

Reimbursement

Phone

(305) 864-9191

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• WEST BROWARD CARE CENTER Doing business as

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243296000000",
    "number": "1114914165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7751 W BROWARD BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242003",
            "telephone_number": "954-473-8040",
            "fax_number": "954-473-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7751 W BROWARD BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242003",
            "telephone_number": "954-473-8040",
            "fax_number": "954-473-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BROWARD GROUP, L.L.C. (THROUGH 6/29/08)",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2009-05-26",
        "status": "A",
        "authorized_official_last_name": "ROBAINA",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "REIMBURSEMENT",
        "authorized_official_telephone_number": "305-864-9191"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1028096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025882200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEST BROWARD CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Plantation, FL
• Providers in Plantation, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; 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.