Individual provider Active NPI

Amy Geletka

  • Nursing Home Administrator
  • Fort Lauderdale, FL
National Provider Identifier
1467207571
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Home AdministratorTaxonomy code 376G00000X
License
NH6530 Issued in FL
Practice address
2700 W Cypress Creek Rd Ste B106
Fort Lauderdale, FL 33309-1718
Phone
(954) 514-7569
Fax
(954) 514-7659
NPI assigned
Apr 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Home Administrator 376G00000X NH6530 FL Primary

Addresses

Primary practice location

2700 W Cypress Creek Rd Ste B106
Fort Lauderdale, FL 33309-1718

Mailing address

2700 W Cypress Creek Rd Ste B106
Fort Lauderdale, FL 33309-1718
Phone (954) 514-7569

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NH6530FLMDNursing Home Administrator

Practice roles

OrganizationSpecialtyStatusNew patients
Multicultural Alliance Health Care Solutions, Inc CurrentSince Apr 28, 2024 Accepting new patients
Multicultural Alliance Health Care Solutions, Inc. CurrentSince Apr 28, 2024 Accepting new patients

Locations

2700 W Cypress Creek Rd
Ste B106
Ft Lauderdale, FL 33309
Phone (954) 514-7569

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1467207571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 W CYPRESS CREEK RD STE B106",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091718",
            "telephone_number": "954-514-7569",
            "fax_number": "954-514-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W CYPRESS CREEK RD STE B106",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091718",
            "telephone_number": "954-514-7569",
            "fax_number": "954-514-7659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELETKA",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "FL",
            "license": "NH6530",
            "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 Apr 22, 2024; 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.