NPIMap

Organization Active NPI

Provide 4 Inc.

  • Community/Behavioral Health Agency
  • Fort Lauderdale, FL
National Provider Identifier
1457630972
Registry record updated Jan 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SW 9879 Issued in FL
Legal business name
PROVIDE 4 INC.
Practice address
3000 NE 30TH PL
Suite 408
Fort Lauderdale, FL 33306-1928
Phone
(954) 800-0108
NPI assigned
Aug 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2012

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

Authorized official

Name
Kacee Elaine Tannenbaum, LCSWNPI 1427337245
Title
President
Phone
(954) 800-0108

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SW 9879 FL Primary

Addresses

Primary practice location

3000 NE 30TH PL
Suite 408
Fort Lauderdale, FL 33306-1928

Mailing address

3000 NE 30TH PL
Suite 408
Fort Lauderdale, FL 33306-1928
Phone (954) 800-0108

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1457630972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 NE 30TH PL",
            "address_2": "SUITE 408",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061928",
            "telephone_number": "954-800-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 NE 30TH PL",
            "address_2": "SUITE 408",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061928",
            "telephone_number": "954-800-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDE 4 INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-15",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "TANNENBAUM",
        "authorized_official_first_name": "KACEE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-800-0108",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "SW 9879",
            "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 Jan 20, 2012; 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.