Organization Active NPI

Forum Quality Care Services, Inc.

  • Voluntary or Charitable Agency
  • Fort Lauderdale, FL
National Provider Identifier
1366559726
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
FORUM QUALITY CARE SERVICES, INC.
Practice address
6430 NE 21St Rd
Fort Lauderdale, FL 33308-1060
Phone
(954) 805-8551
Fax
(954) 776-6981
NPI assigned
Aug 23, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Christina Anne Anderson, B.S.
Title
Ceo
Phone
(954) 805-8551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X NU Primary

Addresses

Primary practice location

6430 NE 21St Rd
Fort Lauderdale, FL 33308-1060

Mailing address

6430 NE 21St Rd
Fort Lauderdale, FL 33308-1060
Phone (954) 805-8551

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366559726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6430 NE 21ST RD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081060",
            "telephone_number": "954-805-8551",
            "fax_number": "954-776-6981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6430 NE 21ST RD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081060",
            "telephone_number": "954-805-8551",
            "fax_number": "954-776-6981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORUM QUALITY CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-805-8551",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • 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.