Active NPI
Endo Care Services, LLC
- Nursing Care Agency
- North Lauderdale, FL
National Provider Identifier
1235752148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- ENDO CARE SERVICES, LLC
- Practice address
- 1030 SW 83Rd Ave
North Lauderdale, FL 33068 - Phone
- (954) 488-3080
- Fax
- (662) 200-5996
- NPI assigned
- May 26, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Toni Patricia Lattibeaudiere, APRN
- Title
- Owner/Nurse Practitioner
- Phone
- (954) 487-9057
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Nursing Care Agency | 251J00000X | Primary |
Addresses
Primary practice location
1030 SW 83Rd Ave
North Lauderdale, FL 33068
Mailing address
6805 W Commercial Blvd
# 1059
Tamarac, FL 33319-2116
Phone (954) 487-9057
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6805 W Commercial Blvd
#1059
Lauderhill, FL 33319
Phone (954) 487-9057
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649462400000",
"number": "1235752148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6805 W COMMERCIAL BLVD",
"address_2": "# 1059",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333192116",
"telephone_number": "954-487-9057",
"fax_number": "662-200-5996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 SW 83RD AVE",
"city": "NORTH LAUDERDALE",
"state": "FL",
"postal_code": "33068",
"telephone_number": "954-488-3080",
"fax_number": "662-200-5996"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENDO CARE SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-26",
"last_updated": "2022-04-09",
"certification_date": "2022-04-09",
"status": "A",
"authorized_official_last_name": "LATTIBEAUDIERE",
"authorized_official_first_name": "TONI",
"authorized_official_middle_name": "PATRICIA",
"authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
"authorized_official_telephone_number": "954-487-9057",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2022; 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.