Healthy Life Enterprises LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

HEALTHY LIFE ENTERPRISES LLC

Practice address

6041 Kimberly Blvd Ste K
North Lauderdale, FL 33068-2816

Phone

(954) 906-4141

NPI assigned

May 23, 2019

Organization subpart

No

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

Authorized official

Name

Jorge Pena

Title

Manager

Phone

(954) 906-4141

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558569600000",
    "number": "1568029718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6041 KIMBERLY BLVD STE K",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330682816",
            "telephone_number": "954-906-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6041 KIMBERLY BLVD STE K",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330682816",
            "telephone_number": "954-906-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIFE ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-05-23",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-906-4141"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Green
• Kimberly C. R. Greene
• Nastassja Guyah, RDN, LDN
• Deseray T Hamilton
• Raven Harris
• Heart in Hand Nursing Care
• Evroy Henry
• Latoya Herbert
• Abram Hernandez, CNA
• Charles Herrera, M.D.

• Clinical Medical Laboratory in North Lauderdale, FL
• Providers in North Lauderdale, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.