Active NPI
The Canaan Center LLC
- Adult Companion
- Pembroke Pines, FL
National Provider Identifier
1265920094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Legal business name
- THE CANAAN CENTER LLC
- Practice address
- 6710 W Sunrise Blvd Suite 112
112
Pembroke Pines, FL 33028-1952 - Phone
- (954) 982-2171
- NPI assigned
- Apr 26, 2018
- 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
- Ms. Agnes Saint Preux
- Title
- Director / Administrator
- Phone
- (786) 304-8483
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 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | |||
| Home Health Registered Nurse | 163WH0200X | |||
| Hospice Registered Nurse | 163WH1000X | |||
| Licensed Practical Nurse | 164W00000X | |||
| Chore Provider | 372500000X | |||
| Adult Companion | 372600000X | Primary | ||
| Technician | 374700000X | |||
| Attendant Care Provider | 3747A0650X | |||
| Personal Care Attendant | 3747P1801X | |||
| Home Health Aide | 374U00000X | |||
| Homemaker | 376J00000X | |||
| Nurse's Aide | 376K00000X |
Addresses
Primary practice location
6710 W Sunrise Blvd Suite 112
112
Pembroke Pines, FL 33028-1952
Mailing address
6710 W Sunrise Blvd Suite 112
112
Pembroke Pines, FL 33028-1952
Phone (954) 982-2171
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- Tamarac, FL
- NPI 1982130027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729814400000",
"number": "1265920094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6710 W SUNRISE BLVD SUITE 112",
"address_2": "112",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330281952",
"telephone_number": "954-982-2171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6710 W SUNRISE BLVD SUITE 112",
"address_2": "112",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330281952",
"telephone_number": "954-982-2171"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE CANAAN CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-26",
"last_updated": "2024-10-25",
"certification_date": "2024-10-22",
"status": "A",
"authorized_official_last_name": "SAINT PREUX",
"authorized_official_first_name": "AGNES",
"authorized_official_title_or_position": "DIRECTOR / ADMINISTRATOR",
"authorized_official_telephone_number": "786-304-8483",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WH1000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Hospice",
"state": null,
"license": null,
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": true
},
{
"code": "374700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.