Aegis Place LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AEGIS PLACE LLC.

Practice address

4809 NW 9TH St
Plantation, FL 33317-1421

Phone

(305) 343-3843

NPI assigned

Jun 3, 2022

Last updated

Jun 7, 2022By 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

Mrs. Darling Fanfan

Title

Administrator

Phone

(305) 343-3843

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1124767363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 NW 9TH ST",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171421",
            "telephone_number": "305-343-3843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 NW 9TH ST",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171421",
            "telephone_number": "305-343-3843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEGIS PLACE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "FANFAN",
        "authorized_official_first_name": "DARLING",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-343-3843",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.