Latrica M Chance, CNA MED TECH CARGIV

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

3350 E Atlantic Blvd Ste 209
Pompano Beach, FL 33062-5743

Phone

(954) 258-3714

NPI assigned

Mar 30, 2021

Last updated

May 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

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.

• The Ican Multi Service Group LLC

  dba Ican Healthcare Agency

  • Home Health Agency
  • Pompano Beach, FL
  • NPI 1003494311

  Home Health Aide

  NPD Authorized official

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1487232799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 NE 6TH ST UNIT 2324",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330612614",
            "telephone_number": "954-951-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 E ATLANTIC BLVD STE 209",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330625743",
            "telephone_number": "954-258-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANCE",
        "first_name": "LATRICA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "CNA MED TECH CARGIV",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "406578",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "406578",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "409579",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110775100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariana Chacon
• Chair Care Plus Inc
• Stacey Chamberlain, M.S., CF-SLP
• Jacqueline Chambers
• Lita Chambers, LDO
• Leeann Chang, PMHNP-BC
• Changes Treatment and Recovery, Inc.
• Pauline A Chapman
• Ilbeth Charles
• Ketsia Charles, MT

• Home Health Aide in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Home Health Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.