Innovative Senior Care

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

OTA 10427 Issued in FL

Legal business name

INNOVATIVE SENIOR CARE

Practice address

8241 SW 15TH St
1122
Plantation, FL 33324-3271

Phone

(954) 882-8618

NPI assigned

Sep 11, 2008

Last updated

Sep 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

April Botero, PT

Title

Team Leader

Phone

(954) 970-2600

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1578712717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 W MCNAB RD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330694966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8241 SW 15TH ST",
            "address_2": "1122",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243271",
            "telephone_number": "954-882-8618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "BOTERO",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "TEAM LEADER",
        "authorized_official_telephone_number": "954-970-2600",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "OTA 10427",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "OTA 10427",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "FL",
            "license": "OTA 10427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTA LICENSE NUMBER",
            "identifier": "OTA 10427",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Plantation, FL
• Providers in Plantation, FL by specialty
• Early Intervention Provider Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.