Headstart Clinics LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

HEADSTART CLINICS LLC

Practice address

900 NW 13TH St
Boca Raton, FL 33486-2335

Phone

(561) 702-3094

NPI assigned

Feb 1, 2019

Organization subpart

No

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

Authorized official

Name

Matthew Gruskin, CONPI 1952874786

Title

Ceo

Phone

(561) 702-3094

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Matthew Etan Gruskin, MBA, CO

  • Orthotist
  • Miami, FL
  • NPI 1952874786
  NPD Authorized official

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548979200000",
    "number": "1528523784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 NE 83RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331384137",
            "telephone_number": "561-702-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NW 13TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862335",
            "telephone_number": "561-702-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEADSTART CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-01",
        "last_updated": "2019-02-01",
        "status": "A",
        "authorized_official_last_name": "GRUSKIN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-702-3094",
        "authorized_official_credential": "CO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pash Melisha Haynes
• Ashley Lynn Hays, MSN, APRN FNP-BC
• Mariana J Hazelcorn, P.T.
• HCRD LLC (Cedar Detox LLC)
• Headache, Pain & Injury Center, Inc.
• Headstart Therapy Inc
• Heal Your Roots Wellness, Inc
• Lynne M. Healey, LMHC, QS, MPS
• Healing Educational Alternatives for Deserving Students
• Healing in the Home Counseling Services, LLC

• Prosthetic/Orthotic Supplier in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; 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.