Embolden, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

EMBOLDEN, LLC

Practice address

7040 Fillmore St
Hollywood, FL 33024-7345

Phone

(954) 816-9133

NPI assigned

Sep 19, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Shantel Woodstock

Title

Owner

Phone

(954) 816-9133

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1285412445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7040 FILLMORE ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330247345",
            "telephone_number": "954-816-9133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7040 FILLMORE ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330247345",
            "telephone_number": "954-816-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBOLDEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "WOODSTOCK",
        "authorized_official_first_name": "SHANTEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-816-9133",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Elkind, PSY D
• Olivia Elmann, PSYD
• Troy Erik Elmstrom, PA-C
• Adel Eltantawy, PHARM.D, BCOP
• Leslie Elvir
• Embracing Recovery Comprehensive Counseling Center Inc
• Emc Services of Florida LLC
• Emdi Health LLC
• Emerald Hills Dental Center
• Emerald Hills Hand Therapy LLC

• Developmentally Disabled Services Day Training Agency in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.