Greenacres Health & Rehab LLC

Primary specialty

Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X

Legal business name

GREENACRES HEALTH & REHAB LLC

Practice address

4010 S 57TH Ave Ste 101
Greenacres, FL 33463-4301

Phone

(561) 964-9331

NPI assigned

Aug 16, 2020

Organization subpart

No

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

Authorized official

Name

Dr. John Deluca, MDNPI 1407050024

Title

MGR

Phone

(561) 964-9331

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Deluca, M.D.

  • Internal Medicine Physician
  • North Palm Beach, FL
  • NPI 1407050024

  FL

  Medicare reassignment NPD Authorized official
• Doreen Michel, MD

  • General Practice Physician
  • Greenacres, FL
  • NPI 1366638249
  NPD

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

{
    "created_epoch": "1597536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597536000000",
    "number": "1164033718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 S 57TH AVE STE 101",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334634301",
            "telephone_number": "561-964-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 S 57TH AVE STE 101",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334634301",
            "telephone_number": "561-964-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENACRES HEALTH & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-16",
        "last_updated": "2020-08-16",
        "certification_date": "2020-08-16",
        "status": "A",
        "authorized_official_last_name": "DELUCA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "561-964-9331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Green Acres Family Chiropractic and Wellness Center ,Inc
• Green Worth Services Inc
• Greenacres Adult Day Care LLC
• Greenacres Dialysis Center LLC
• Greenacres Eye Associates PA
• Greenacres Injury and Rehab Center
• Greenacres Operator LLC
• Danielle L Greenfield, LCSW
• Andrea Vanegas Grillo, NP
• Guardian Angel'S Home Health Services LLC

• All providers in Greenacres, FL
• Sports Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.