Organization Active NPI

Legault Chiropractic Health Center

  • Chiropractor
  • Hollywood, FL
National Provider Identifier
1467657619
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0002573 Issued in FL
Legal business name
LEGAULT CHIROPRACTIC HEALTH CENTER
Practice address
5745 Hollywood Blvd
Hollywood, FL 33021-6326
Phone
(954) 966-2211
NPI assigned
Jun 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jacqueline Legault Valcourt, DCNPI 1689651879
Title
General Partner
Phone
(954) 966-2211

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
Chiropractor 111N00000X CH0002573 FL Primary

Addresses

Primary practice location

5745 Hollywood Blvd
Hollywood, FL 33021-6326

Mailing address

5745 Hollywood Blvd
Hollywood, FL 33021-6326
Phone (954) 966-2211

Other identifiers 1

IdentifierTypeStateIssuer
45822OtherFLBCBS GROUP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090105000379 FL Part B Supplier - Clinic/Group Practice 3173685963 Receives reassigned benefits from 3 practitioners
Practice locations: Hollywood, FL

National Provider Directory

National Provider Directory

Locations

5745 Hollywood Blvd
Hollywood, FL 33021
Phone (954) 966-2211

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467657619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5745 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216326",
            "telephone_number": "954-966-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5745 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216326",
            "telephone_number": "954-966-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGAULT CHIROPRACTIC HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VALCOURT",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "LEGAULT",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "954-966-2211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0002573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "45822",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.