Pro Care Home Health of Broward, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HHA220050961 Issued in FL

Legal business name

PRO CARE HOME HEALTH OF BROWARD, INC

Practice address

5440 NW 33Rd Ave
Suite 113
Ft Lauderdale, FL 33309-6379

Phone

(954) 484-4837

Fax

(954) 484-6272

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Patrick Todd Lyles

Title

Sr. V. P., Administration

Phone

(502) 891-1044

Specialties & licenses 1

Addresses

Other names 1

• Caretenders Doing business as

Tax ID family

Caretenders2 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.

• Mederi Caretenders VS of Broward, LLC

  • Home Health Agency
  • Delray Beach, FL
  • NPI 1720289358
  NPD tax ID

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1124138102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 ORMSBY STATION RD",
            "address_2": "SUITE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234081",
            "telephone_number": "502-891-1000",
            "fax_number": "502-891-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 NW 33RD AVE",
            "address_2": "SUITE 113",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333096379",
            "telephone_number": "954-484-4837",
            "fax_number": "954-484-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO CARE HOME HEALTH OF BROWARD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "LYLES",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "SR. V. P., ADMINISTRATION",
        "authorized_official_telephone_number": "502-891-1044",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA220050961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caretenders",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Ft Lauderdale, FL
• Providers in Ft Lauderdale, 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 Aug 4, 2008; 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.