Organization Active NPI

Fidelity Care Management

  • Assisted Living Facility
  • Hollywood, FL
National Provider Identifier
1497945661
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL6508 Issued in FL
Legal business name
FIDELITY CARE MANAGEMENT
Practice address
2001 Polk St
Hollywood, FL 33020-4539
Phone
(954) 927-2001
Fax
(954) 927-2001
NPI assigned
Jul 25, 2007
Organization subpart
Yes
Parent organization
FIDELITY CARE MANAGEMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Authorized official

Name
Mrs. Gladys Valdez
Title
Owner
Phone
(954) 927-2001

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL6508 FL Primary
Assisted Living Facility (Mental Illness) 3104A0625X AL6508 FL

Addresses

Primary practice location

2001 Polk St
Hollywood, FL 33020-4539

Mailing address

2001 Polk St
Hollywood, FL 33020-4539
Phone (954) 927-2001

Other names 1

  • Midtown Manor Doing business as

National Provider Directory

National Provider Directory
Part of
Fidelity Care Management

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1497945661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 POLK ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204539",
            "telephone_number": "954-927-2001",
            "fax_number": "954-927-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 POLK ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204539",
            "telephone_number": "954-927-2001",
            "fax_number": "954-927-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDELITY CARE MANAGEMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIDELITY CARE MANAGEMENT",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "VALDEZ",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-927-2001",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL6508",
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL6508",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midtown Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 25, 2007; 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.