Active NPI
Metamorphasis Care and Wellness
- Assisted Living Facility
- Ft Lauderdale, FL
National Provider Identifier
1609307420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.