Active NPI
Valaine Joseph Eugene
- Adult Care Home Facility
- Sunrise, FL
National Provider Identifier
1295901924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- 6906196
- Practice address
- 8539 NW 20TH CT
Sunrise, FL 33322-3801 - Phone
- (954) 865-4614
- Fax
- (954) 283-8153
- NPI assigned
- May 2, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 6906196 | FL | Primary |
Addresses
Primary practice location
8539 NW 20TH CT
Sunrise, FL 33322-3801
Mailing address
8539 NW 20 CT
Sunrise, FL 33322-3801
Phone (954) 865-4614
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6906196 | FL | MD | Adult Care Home Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209686400000",
"number": "1295901924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8539 NW 20 CT",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333223801",
"telephone_number": "954-865-4614",
"fax_number": "954-283-8153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8539 NW 20TH CT",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333223801",
"telephone_number": "954-865-4614",
"fax_number": "954-283-8153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EUGENE",
"first_name": "VALAINE",
"middle_name": "JOSEPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-02",
"last_updated": "2008-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "FL",
"license": "6906196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunrise, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.