Organization Active NPI

Maxicare Select, Inc.

  • Home Health Agency
  • Tamarac, FL
National Provider Identifier
1467678813
Registry record updated Aug 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299991555 Issued in FL
Legal business name
MAXICARE SELECT, INC.
Practice address
8333 W. McNab Rd #113
Tamarac, FL 33321
Phone
(954) 771-2399
Fax
(954) 771-2491
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2015

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

Authorized official

Name
Lisa Cooper
Title
President
Phone
(954) 771-2399

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299991555 FL Primary
Home Health Agency 251E00000X 299991469 FL

Addresses

Primary practice location

8333 W. McNab Rd #113
Tamarac, FL 33321

Mailing address

8333 W. McNab Rd. #113
Tamarac, FL 33321
Phone (954) 771-2399

National Provider Directory

National Provider Directory

Locations

8333 W McNab Rd
Ste 113
Tamarac, FL 33321
Phone (754) 222-8524

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440633600000",
    "number": "1467678813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 W. MCNAB RD. #113",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "33321",
            "telephone_number": "954-771-2399",
            "fax_number": "954-771-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 W. MCNAB RD #113",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "33321",
            "telephone_number": "954-771-2399",
            "fax_number": "954-771-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXICARE SELECT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2015-08-27",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-771-2399"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299991555",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299991469",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.