Ab 93 LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AB 93 LLC

Doing business as

Active Senior Care

Practice address

1000 W Pembroke Rd Ste 111
Hallandale Beach, FL 33009-2178

Phone

(954) 361-4199

NPI assigned

Feb 10, 2020

Organization subpart

No

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

Authorized official

Name

Mark Benzaquen

Title

Director

Phone

(954) 361-4199

Specialties & licenses 1

Addresses

Other names 1

• Active Senior Care Doing business as

Locations

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1447882204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W PEMBROKE RD STE 111",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W PEMBROKE RD STE 111",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092178",
            "telephone_number": "954-361-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AB 93 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "BENZAQUEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-361-4199"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.