Active NPI
The Divine Mind Healthcare Educational Advanced Learning Site
- Local Education Agency (LEA)
- Hallandale Beach, FL
National Provider Identifier
1629795463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- THE DIVINE MIND HEALTHCARE EDUCATIONAL ADVANCED LEARNING SITE
- Practice address
- 11 Palm Ave
Hallandale Beach, FL 33009-6430 - Phone
- (954) 603-1896
- Fax
- (954) 678-2998
- NPI assigned
- Oct 24, 2022
- 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
- Denise Y Melendez, MBA
- Title
- Educator
- Phone
- (954) 857-8479
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | Primary |
Addresses
Primary practice location
11 Palm Ave
Hallandale Beach, FL 33009-6430
Mailing address
11 Palm Ave
Hallandale Beach, FL 33009-6430
Phone (954) 603-1896
Other names 1
- The Divine Mind H.E.A.L.S
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Health Educator
- Hallandale Beach, FL
- NPI 1780259127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666569600000",
"number": "1629795463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 PALM AVE",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330096430",
"telephone_number": "954-603-1896",
"fax_number": "954-678-2998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 PALM AVE",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330096430",
"telephone_number": "954-603-1896",
"fax_number": "954-678-2998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE DIVINE MIND HEALTHCARE EDUCATIONAL ADVANCED LEARNING SITE",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-24",
"last_updated": "2022-10-24",
"certification_date": "2022-10-23",
"status": "A",
"authorized_official_last_name": "MELENDEZ",
"authorized_official_first_name": "DENISE",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "EDUCATOR",
"authorized_official_telephone_number": "954-857-8479",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "THE DIVINE MIND H.E.A.L.S",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Divine Mind H.E.A.L.S",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Hallandale Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.