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Organization Active NPI

Mains'L Florida, Inc. Dba Mains'L Service,Inc,

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Hollywood, FL
National Provider Identifier
1235219833
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
2262270 Issued in FL
Legal business name
MAINS'L FLORIDA, INC. DBA MAINS'L SERVICE,INC,
Practice address
6100 Hollywood Blvd
Hollywood, FL 33024-7900
Phone
(954) 919-0321
Fax
(954) 919-0324
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Teresa Carol Williams
Title
Ceo & President
Phone
(954) 919-0321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 2262270 FL Primary

Addresses

Primary practice location

6100 Hollywood Blvd
Hollywood, FL 33024-7900

Mailing address

6100 Hollywood Blvd
Hollywood, FL 33024-7900
Phone (954) 919-0321

National Provider Directory

National Provider Directory
Tax ID family
Mains'L Florida4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6100 Hollywood Blvd
Pembroke Pines, FL 33024
Phone (954) 919-0321

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235219833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330247900",
            "telephone_number": "954-919-0321",
            "fax_number": "954-919-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330247900",
            "telephone_number": "954-919-0321",
            "fax_number": "954-919-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINS'L FLORIDA, INC. DBA MAINS'L SERVICE,INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "CEO & PRESIDENT",
        "authorized_official_telephone_number": "954-919-0321",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": "2262270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.