Hospicecare of Southeast Florida, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

5012096 Issued in FL

Legal business name

HOSPICECARE OF SOUTHEAST FLORIDA, INC.

Practice address

321 SE 18TH St
Fort Lauderdale, FL 33316-2817

Phone

(954) 467-7423

Fax

(954) 522-3740

NPI assigned

Aug 4, 2006

Organization subpart

No

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

Authorized official

Name

Kathleen M Palmer

Title

Chief Financial Officer

Phone

(954) 467-7423

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

The Bougainvilla House Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• The Bougainvilla House, Inc.

  • Recovery Care Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1700243300
  NPD tax ID
• The Bougainvilla House, Inc.

  • Recovery Care Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1770949075
  NPD tax ID
• The Bougainvilla House, Inc.

  • Community/Behavioral Health Agency
  • Fort Lauderdale, FL
  • NPI 1962835488
  NPD tax ID

Locations

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1124036298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 SE 18TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162817",
            "telephone_number": "954-467-7423",
            "fax_number": "954-522-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 SE 18TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162817",
            "telephone_number": "954-467-7423",
            "fax_number": "954-522-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICECARE OF SOUTHEAST FLORIDA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2010-05-26",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "954-467-7423"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "FL",
            "license": "5012096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087473600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087473603",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nadja A Horst, D.M.D., P.A.
• Jeffrey Craig Horwitz, P.T.
• Eric Allan Hosack, MD
• Cecilia A. Hosam, MD
• Benjamin Hoskins
• Hospital Surgical Group
• Hospitalist Medicine Physicians of Florida - Ft. Lauderdale, LLC
• Hospitalist Medicine Physicians of Florida-TCG, LLC
• Shayan Hosseinzadeh, MD
• Allison Hotaling, LCSW

• Community Based Hospice Care Agency in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Community Based Hospice Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.