Organization Active NPI

Metamorphasis Care and Wellness

  • Assisted Living Facility
  • Ft Lauderdale, FL
National Provider Identifier
1609307420
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
METAMORPHASIS CARE AND WELLNESS
Doing business as
Butterfly Cove
Practice address
110 E Broward Blvd
Ft Lauderdale, FL 33301-3503
Phone
(954) 609-7614
NPI assigned
Mar 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Authorized official

Name
Theresa Santana
Title
Administrator
Phone
(954) 609-7614

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary
Custodial Care Facility 311Z00000X

Addresses

Primary practice location

110 E Broward Blvd
Ft Lauderdale, FL 33301-3503

Mailing address

110 E Broward Blvd
Ft Lauderdale, FL 33301-3503
Phone (954) 609-7614

Other names 1

  • Butterfly Cove Doing business as

National Provider Directory

National Provider Directory

Locations

110 E Broward Blvd
Ft Lauderdale, FL 33301
Phone (954) 609-7614

NPI Registry JSON

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1609307420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E BROWARD BLVD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013503",
            "telephone_number": "954-609-7614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E BROWARD BLVD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013503",
            "telephone_number": "954-609-7614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAMORPHASIS CARE AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-23",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "SANTANA",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-609-7614"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Butterfly Cove",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.