Paa of Broward

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

2849452 Issued in FL

Legal business name

PAA OF BROWARD

Practice address

1100 NE 45TH St
Suite 142
Oakland Park, FL 33334-3814

Phone

(954) 661-1911

NPI assigned

Jun 24, 2009

Organization subpart

No

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

Authorized official

Name

David Wenniger

Title

Director

Phone

(954) 661-1911

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1336377704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NE 45TH ST",
            "address_2": "SUITE 142",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333343814",
            "telephone_number": "954-661-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NE 45TH ST",
            "address_2": "SUITE 142",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333343814",
            "telephone_number": "954-661-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAA OF BROWARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "WENNIGER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-661-1911"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "FL",
            "license": "2849452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3047067000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nursing Care Agency in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Nursing Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; 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.