Organization Active NPI

Endo Care Services, LLC

  • Nursing Care Agency
  • North Lauderdale, FL
National Provider Identifier
1235752148
Registry record updated Apr 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
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

Updated by the provider on Apr 9, 2022

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

Authorized official

Name
Mrs. Toni Patricia Lattibeaudiere, APRNNPI 1558781906
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20200826002016 FL Part B Supplier - Clinic/Group Practice 9133546831 Receives reassigned benefits from 1 practitioner
Practice locations: North Lauderdale, FL; Tamarac, FL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.