Organization Active NPI

Social Health Company

  • Exclusive Provider Organization
  • Fort Lauderdale, FL
National Provider Identifier
1417602764
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
SOCIAL HEALTH COMPANY
Doing business as
SOCIAL HEALTH
Practice address
501 E Las Olas Blvd Ste 222
Fort Lauderdale, FL 33301-2882
Phone
(888) 484-2466
NPI assigned
Feb 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Authorized official

Name
Mr. Wallace De Rothsman
Title
Ceo
Phone
(650) 379-9946

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Military Health Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 171000000X
PACE Provider Organization 251T00000X
Exclusive Provider Organization 302F00000X Primary
Health Maintenance Organization 302R00000X
Preferred Provider Organization 305R00000X
Managed Care Organization Pharmacy 3336M0003X

Addresses

Primary practice location

501 E Las Olas Blvd Ste 222
Fort Lauderdale, FL 33301-2882

Mailing address

2221 NE 164TH St Ste 296
Aventura, FL 33160-3703
Phone (888) 484-2466

Other names 1

  • SOCIAL HEALTH Doing business as

National Provider Directory

National Provider Directory

Locations

501 E Las Olas Blvd
Ste 222
Fort Lauderdale, FL 33301
Phone (888) 484-2466

NPI Registry JSON

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1417602764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 NE 164TH ST STE 296",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331603703",
            "telephone_number": "888-484-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E LAS OLAS BLVD STE 222",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012882",
            "telephone_number": "888-484-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL HEALTH COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "DE ROTHSMAN",
        "authorized_official_first_name": "WALLACE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-379-9946",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOCIAL HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 15, 2022; 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.