Organization Active NPI

Total Health Care Clinic LLC

  • Clinic/Center
  • Plantation, FL
National Provider Identifier
1376161455
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
TOTAL HEALTH CARE CLINIC LLC
Practice address
4161 NW 5TH St Ste 201
Plantation, FL 33317-2101
Phone
(954) 300-2404
Fax
(954) 300-2404
NPI assigned
Jul 6, 2020
Last updated
Jul 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Authorized official

Name
Geraldine HawkinsNPI 1447706379
Title
Aprn
Phone
(954) 907-6719

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4161 NW 5TH St Ste 201
Plantation, FL 33317-2101

Mailing address

4161 NW 5TH St Ste 201
Plantation, FL 33317-2101
Phone (954) 907-6719

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://totalhealthcareclinicfl.com

National Provider Directory

National Provider Directory

Locations

3157 N University Dr
Ste 107
Pembroke Pines, FL 33024
Phone (954) 990-0595

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625184000000",
    "number": "1376161455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 NW 5TH ST STE 201",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172101",
            "telephone_number": "954-907-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 NW 5TH ST STE 201",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172101",
            "telephone_number": "954-300-2404",
            "fax_number": "954-300-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL HEALTH CARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-06",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "GERALDINE",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "954-907-6719"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://totalhealthcareclinicfl.com",
            "affiliation": "N",
            "address_1": "4161 NW 5th St Ste 201",
            "city": "Plantation",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333172101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.