NPIMap

Organization Active NPI

AIDS Healthcare Foundation

Doing business as AHF Broward Liver Institute

  • Clinic/Center
  • Fort Lauderdale, FL
National Provider Identifier
1558715664
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
AIDS HEALTHCARE FOUNDATION
Doing business as
AHF Broward Liver Institute
Practice address
700 SE 3Rd Ave
Ste 201
Ft Lauderdale, FL 33316-1139
Phone
(323) 436-5019
NPI assigned
Apr 15, 2016
Last updated
Sep 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Authorized official

Name
Donna Stidham
Title
Chief, Managed Care
Phone
(323) 436-5025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

700 SE 3Rd Ave
Ste 201
Ft Lauderdale, FL 33316-1139

Mailing address

6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200

Other names 1

  • AHF Broward Liver Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050525000558 FL Part B Supplier - Clinic/Group Practice 2668369109 Receives reassigned benefits from 75 practitioners
26 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Miami Beach, FL; Ft Lauderdale, FL; North Miami Beach, FL; Orlando, FL; Pensacola, FL; Safety Harbor, FL; St Petersburg, FL; Tampa, FL…

Other NPIs on the same Medicare enrollment 26

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 26

National Provider Directory

National Provider Directory
Tax ID family
AIDS Health Foundation93 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 21

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 21

Locations

700 SE 3rd Ave
Ste 201
Ft Lauderdale, FL 33316

NPI Registry JSON

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568160000000",
    "number": "1558715664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 W SUNSET BLVD FL 21",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287422",
            "telephone_number": "323-860-5200",
            "fax_number": "833-241-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SE 3RD AVE",
            "address_2": "STE 201",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161139",
            "telephone_number": "323-436-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIDS HEALTHCARE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-15",
        "last_updated": "2019-09-11",
        "status": "A",
        "authorized_official_last_name": "STIDHAM",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "CHIEF, MANAGED CARE",
        "authorized_official_telephone_number": "323-436-5025"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AHF Broward Liver Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AHF Broward Liver Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.