Ponkeys Home Care

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

PONKEYS HOME CARE

Practice address

4420 NW 23Rd Street
Lauderhill, FL 33313

Phone

(754) 214-3169

Fax

(954) 306-2314

NPI assigned

Nov 22, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Polly Nedene DuffusNPI 1568116010

Title

President

Phone

(754) 214-3169

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Polly Duffus

  • Developmentally Disabled Services Day Training Agency
  • Lauderhill, FL
  • NPI 1568116010
  NPD (past) Authorized official

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1528360799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 NW 23RD STREET",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "33313",
            "telephone_number": "754-214-3169",
            "fax_number": "954-306-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 NW 23RD STREET",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "33313",
            "telephone_number": "754-214-3169",
            "fax_number": "954-306-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONKEYS HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-22",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "DUFFUS",
        "authorized_official_first_name": "POLLY",
        "authorized_official_middle_name": "NEDENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "754-214-3169",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "691523096",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Werlyne Pierre
• Marie Pierrelus
• Tamare P Piersaint, PSYD
• Mark Anthony Plummer
• Fanny Marcela Pombo Diaz, SLPA
• Claudette Porter, MSN, RN
• Lazara Portuondo
• Potter'S House at Cannon Point, Inc
• Premier Care Group
• Premier Medical Center of Inverrary, Inc.

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Lauderhill, FL
• Providers in Lauderhill, FL by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.