Holy Cross Long Term Care Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF13600961 Issued in FL

Legal business name

HOLY CROSS LONG TERM CARE INC.

Doing business as

Mercy Manor North

Practice address

2331 NE 53Rd St
Ft Lauderdale, FL 33308-3235

Phone

(954) 771-0739

Fax

(954) 771-1142

NPI assigned

Sep 28, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Gretchen Ward

Title

Administrator

Phone

(954) 771-0739

Specialties & licenses 1

Addresses

Other names 1

• Mercy Manor North Doing business as

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326130410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 NE 53RD ST",
            "address_2": "MERCY MANOR NORTH",
            "city": "FT. LAUDERDALE",
            "state": "FL",
            "postal_code": "33308",
            "telephone_number": "954-771-0739",
            "fax_number": "954-771-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 NE 53RD ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083235",
            "telephone_number": "954-771-0739",
            "fax_number": "954-771-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY CROSS LONG TERM CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-771-0739",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF13600961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Manor North",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Holy Cross Hospital, Inc.
• Holy Cross Hospital, Inc. D/B/a North Ridge Medical Center
• Holy Cross Outpatient Services, Inc (Holy Cross Medical Group)
• Holy Cross Senior Services Inc
• Holy Cross Urgent Care
• Holy Cross Urgent Care
• Holy Cross Urgent Care, Inc.

• Skilled Nursing Facility in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.