Collaborative Medical Home Services LLC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

Legal business name

COLLABORATIVE MEDICAL HOME SERVICES LLC

Practice address

3744 Cypress Lake Dr
Lake Worth, FL 33467-2203

Phone

(561) 907-7413

NPI assigned

Jul 27, 2016

Organization subpart

No

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

Authorized official

Name

Diana O'Connor, ARNP. PH.D.

Title

President

Phone

(561) 632-2898

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1194278192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3744 CYPRESS LAKE DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3744 CYPRESS LAKE DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672203",
            "telephone_number": "561-907-7413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE MEDICAL HOME SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-27",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-632-2898",
        "authorized_official_credential": "ARNP.  PH.D."
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Tova Cohen, RN
• Richard M Cohen, DC
• Ross A. Cohen, M.D.
• Jessica Colin
• Heather Rosemarie Coll, LMHC
• Lissette Collazo
• Jessica Collins, LCSW
• Marjorie Collins, ARNP, FNP , PMHNP
• Columna
• Comfort Choice Health Care, Inc

• Gerontology Nurse Practitioner in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.