Organization Active NPI

Lauderdale Lakes Alzheimer Care Center

Doing business as City of Lauderdale Lakes

  • Adult Day Care Clinic/Center
  • Lauderdale Lakes, FL
National Provider Identifier
1649476870
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
LAUDERDALE LAKES ALZHEIMER CARE CENTER
Doing business as
City of Lauderdale Lakes
Practice address
4320 NW 36TH St
Lauderdale Lakes, FL 33319-5506
Phone
(954) 535-2800
Fax
(954) 777-3249
NPI assigned
Jun 25, 2007
Last updated
Sep 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

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

Authorized official

Name
Ms. Treasa Brown
Title
Director
Phone
(954) 535-2801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X NU Primary

Addresses

Primary practice location

4320 NW 36TH St
Lauderdale Lakes, FL 33319-5506

Mailing address

4320 NW 36TH St
Lauderdale Lakes, FL 33319-5506
Phone (954) 535-2800

Other identifiers 1

IdentifierTypeStateIssuer
6807259-00MedicaidFL

Other names 1

  • City of Lauderdale Lakes Doing business as

National Provider Directory

National Provider Directory

Locations

4320 NW 36th St
Lauderdale Lakes, FL 33319
Phone (954) 535-2800

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1649476870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 NW 36TH ST",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195506",
            "telephone_number": "954-535-2800",
            "fax_number": "954-777-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 NW 36TH ST",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195506",
            "telephone_number": "954-535-2800",
            "fax_number": "954-777-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUDERDALE LAKES ALZHEIMER CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TREASA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-535-2801",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6807259-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Lauderdale Lakes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lauderdale Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.