The Blue Tree Cafe Limited Liability Co.

Primary specialty

Meals ProviderTaxonomy code 174200000X

Legal business name

THE BLUE TREE CAFE LIMITED LIABILITY CO.

Practice address

612 NW 9TH Ave Ste a
Ft Lauderdale, FL 33311-7674

Phone

(786) 239-9131

NPI assigned

Oct 17, 2024

Organization subpart

No

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

Authorized official

Name

Sharon Allen, MS.

Title

Owner

Phone

(786) 239-9131

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1356162952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 TARPON DR",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330234524",
            "telephone_number": "786-239-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 NW 9TH AVE STE A",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333117674",
            "telephone_number": "786-239-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BLUE TREE CAFE LIMITED LIABILITY CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-239-9131",
        "authorized_official_credential": "MS."
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335G00000X",
            "taxonomy_group": "",
            "desc": "Medical Foods Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rashida Tharpe
• Brian William Thaw, PHARM D. , RPH
• Kayla Krystal Thayer, PH.D.
• The Angel's Touch Assisting Living LLC (An Angel Touch Assisting living)
• The Ark Nutrition and Wellness Center
• The Bougainvilla House, Inc.
• The Bougainvilla House, Inc.
• The Bougainvilla House, Inc.
• The Caring Group, Inc.
• The Caring Place

• Meals Provider in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Meals Provider in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.