At Home Senior Care of Broward Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

30211288 Issued in FL

Legal business name

AT HOME SENIOR CARE OF BROWARD INC

Practice address

725 Intracoastal Dr
Fort Lauderdale, FL 33304-3620

Phone

(954) 566-8922

Fax

(954) 561-7985

NPI assigned

May 17, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Phyllis Louise Timlin, RN

Title

Administrator

Phone

(954) 907-2123

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368748800000",
    "number": "1376989319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 INTRACOASTAL DR",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043620",
            "telephone_number": "954-566-8922",
            "fax_number": "954-561-7985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 INTRACOASTAL DR",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043620",
            "telephone_number": "954-566-8922",
            "fax_number": "954-561-7985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME SENIOR CARE OF BROWARD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-17",
        "last_updated": "2013-05-17",
        "status": "A",
        "authorized_official_last_name": "TIMLIN",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-907-2123",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "30211288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006778800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Assured Quality Care
• Joseph Anthony Astaphan, M.D.
• Asthma & Allergy Associates of FL PA
• Frank C Astor, M.D.
• Juan Salvador Astudillo, R.P.T.
• At Talitha Cumi Home Care, Inc.
• Deniz Atalayer, MD, PHD
• Violeta Atanasoski McCormack, MD
• Athena Healthcare Management LLC
• Athens Health LLC

• Home Health Agency in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; 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.