Enlightment Home Care Providers, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

233011 Issued in FL

Legal business name

ENLIGHTMENT HOME CARE PROVIDERS, INC.

Practice address

4620 SW 172ND Ave
Southwest Ranches, FL 33331-1219

Phone

(954) 552-1668

Fax

(786) 955-6889

NPI assigned

Apr 14, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Irveline Poitevien

Title

Ceo/President

Phone

(954) 552-1668

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492128000000",
    "number": "1174057293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 SW 172ND AVE",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333311219",
            "telephone_number": "954-552-1668",
            "fax_number": "786-955-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 SW 172ND AVE",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333311219",
            "telephone_number": "954-552-1668",
            "fax_number": "786-955-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLIGHTMENT HOME CARE PROVIDERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-14",
        "last_updated": "2017-04-14",
        "status": "A",
        "authorized_official_last_name": "POITEVIEN",
        "authorized_official_first_name": "IRVELINE",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "954-552-1668",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "233011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Southwest Ranches, FL
• Providers in Southwest Ranches, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; 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.