Organization Active NPI

Lissa Company

  • Health Service Clinic/Center
  • North Lauderdale, FL
National Provider Identifier
1275271371
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
LISSA COMPANY
Practice address
7593 Hampton Blvd
North Lauderdale, FL 33068-5586
Phone
(845) 405-9970
Fax
(800) 577-6271
NPI assigned
May 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Authorized official

Name
Melissa Mirambeau-Broussard, ADMINISTRATOR
Title
Ceo
Phone
(845) 405-9970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

7593 Hampton Blvd
North Lauderdale, FL 33068-5586

Mailing address

2630 W Broward Blvd Ste 203
Fort Lauderdale, FL 33312-1315
Phone (800) 577-6271

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lissacompany@lissacompany.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1275271371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 W BROWARD BLVD STE 203",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121315",
            "telephone_number": "800-577-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7593 HAMPTON BLVD",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330685586",
            "telephone_number": "845-405-9970",
            "fax_number": "800-577-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISSA COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "MIRAMBEAU-BROUSSARD",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-405-9970",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lissacompany@lissacompany.com",
            "affiliation": "N",
            "endpointDescription": "LISSA COMPANY",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7593 Hampton Blvd",
            "city": "North Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330685586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 May 27, 2022; 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.