Active NPI
Stacey Anderson
- Personal Care Attendant
- Miramar, FL
National Provider Identifier
1548049380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- 30212165
- Practice address
- 3600 S State Road 7 Ste 243
Miramar, FL 33023-5289 - Phone
- (954) 751-6700
- NPI assigned
- Sep 21, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | 30212165 | FL | Primary |
Addresses
Primary practice location
3600 S State Road 7 Ste 243
Miramar, FL 33023-5289
Mailing address
3600 S State Road 7 Ste 243
Miramar, FL 33023-5289
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30212165 | FL | MD | Personal Care Attendant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Livity Healthcare LLC | Current | Accepting new patients |
Locations
3600 S State Road 7
Ste 243
Miramar, FL 33023
Phone (954) 751-6700
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Miramar, FL
- NPI 1285283085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695254400000",
"number": "1548049380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 S STATE ROAD 7 STE 243",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330235289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 S STATE ROAD 7 STE 243",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330235289",
"telephone_number": "954-751-6700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "STACEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-21",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "FL",
"license": "30212165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miramar, FL
- Ana Solis Pediatric Occupational Therapy
- Chandra Shekar Babu Anavalamudi Thyagaraj
- Anchored Crossings, LLC
- Mieralyn Carpio Andaloc, OTR
- Candace Andar, PHARMD
- Sabrina Edith Andrade, RD
- Niurca Nuria Andre, ARNP
- Martine Vernet Andreus, ARNP
- Joji Ang, ARNP
- Angelet'S Non-Emergency Wheelchair Transport LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.